Individual
DR. FEDERICO OSVALDO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(310) 383-7628
Mailing address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 788-1324
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD13831
RI
Other
Enumeration date
10/22/2007
Last updated
08/07/2017
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