Individual
ROLANDO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
STORRS CONNECTICUT, STORRS, CT 06269-0001
(860) 486-5000
Mailing address
134 LAKEWOOD DR, COVENTRY, CT 06238-2721
(860) 235-6887
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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