Individual
ROGER RIVERA PATRICIO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6276 S RAINBOW BLVD STE 100, LAS VEGAS, NV 89118-3243
(702) 396-4165
(702) 252-4405
Mailing address
5479 ATRIUM WOODS LN, LAS VEGAS, NV 89135-1218
(702) 767-6374
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
APRN002758
NV
363L00000X
Nurse Practitioner
Primary
APRN002758
NV
Other
Enumeration date
12/11/2017
Last updated
10/21/2021
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