Individual
GABRIEL RIVERA-RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE N511, MARRERO, LA 70072-3151
(504) 349-6301
(504) 349-6308
Mailing address
4409 UTICA ST, SUITE 100, METAIRIE, LA 70006-6530
(504) 457-3687
(504) 620-0250
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
10953R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437254984
GROUP NPI - NEW ORLEANS NEPHROLOGY
LA
01
—
1946095
GROUP MEDICAID #
LA
05
—
199318
—
LA
01
—
5F615
GROUP MEDICARE #
LA
Enumeration date
08/17/2005
Last updated
09/20/2013
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