Individual
EDWIN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3825 LADSON RD APT 4105, LADSON, SC 29456-4494
(843) 478-0345
Mailing address
3825 LADSON RD APT 4105, LADSON, SC 29456-4494
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
SC025627
SC
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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