Individual
MR. VICTOR MANUEL RIVERA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11511 YATES ST, SILVER SPRING, MD 20902-2931
(301) 649-6346
Mailing address
11511 YATES ST, SILVER SPRING, MD 20902-2931
(301) 649-6346
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
R055349
MD
Other
Enumeration date
06/16/2005
Last updated
07/08/2007
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