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Individual

DR. MILAGROS RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
102 BRYAN WOODS ROAD, SAVANNAH, GA 31410
(912) 898-1122
(912) 898-9944
Mailing address
602 E 72ND ST, SAVANNAH, GA 31405-4913
(912) 819-7878
(912) 819-7850

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33755
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000327323
ANTHEM - NCMA
01
040477
SIHO - NCMA
01
1200033
CHA / NCMA
KY
05
200482440
IN
01
2444940000
PAD - NCMA
01
4423779
CIGNA / NCMA
KY
01
50003508
PASSPORT - NCMA
05
64337553
KY
05
914812400
FL
01
P00136585
RRMCR - NCMA
KY
Enumeration date
10/19/2005
Last updated
11/28/2016
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