Individual
MR. ENRIQUE RIVERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1665 COCHRANE CIR BLDG 7494, FT CARSON, CO 80913-4603
(719) 524-2645
Mailing address
126 MILLSTREAM TER, COLORADO SPRINGS, CO 80905-4430
(719) 619-7550
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
17197
PR
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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