Individual
DR. TRACIE B RIVERA
Active
Individual
DR. TRACIE B RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101261604
VA
2084P0800X
Psychiatry Physician
24950
WV
2084P0800X
Psychiatry Physician
47784
KY
2084P0800X
Psychiatry Physician
A134626
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2009
Last updated
07/29/2026
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