Individual
DR. DEEANN M RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
280 EXEMPLA CIR, CARDIOLOGY DEPARTMENT, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
39639
CO
246XC2901X
Cardiovascular Invasive Specialist/Technologist
39639
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017331
KAISER-COMMERCIAL NUMBER
—
05
—
28434226
—
CO
05
—
56579730
—
CO
Enumeration date
03/07/2007
Last updated
05/14/2021
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