Individual
DR. EDGARDO J RIVERARIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(919) 425-1565
Mailing address
3114 CROASDAILE DR, SUITE 200, DURHAM, NC 27705-2508
(919) 425-1565
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
430162281
MI
207P00000X
Emergency Medicine Physician
Primary
ME 73694
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4345007
—
MI
Enumeration date
08/17/2006
Last updated
08/19/2008
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