Individual
EPIFANIO RIVERA-ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4221 TUCKASEEGEE RD, CHARLOTTE, NC 28208-2801
(704) 395-0060
(704) 527-2329
Mailing address
4917 SOUTH BLVD, CHARLOTTE, NC 28217-2166
(704) 688-3861
(704) 527-2329
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
9900123
NC
Other
Enumeration date
04/27/2006
Last updated
03/31/2008
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