Individual
MARCELINO E RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 N SENATE BLVD SUITE 220, INDIANAPOLIS, IN 46202
(317) 962-3700
(317) 962-2893
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01077059A
IN
208800000X
Urology Physician
55440
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2011
Last updated
03/05/2025
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