Individual
REY JOSE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 726-4400
Mailing address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 726-4400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD190234
OR
207RI0200X
Infectious Disease Physician
Primary
ME118210
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013502400
—
FL
Enumeration date
08/14/2009
Last updated
03/07/2023
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