Individual
JULIO M RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
613 ELIZABETH ST, SUITE 601, CORPUS CHRISTI, TX 78404-2220
(361) 888-7082
(361) 888-7084
Mailing address
613 ELIZABETH ST, SUITE 601, CORPUS CHRISTI, TX 78404-2220
(361) 888-7082
(361) 888-7084
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
F6093
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000KA512
—
TX
Enumeration date
11/30/2005
Last updated
04/30/2013
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