Individual
DR. ANGEL LUIS RIVERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 E TULARE AVE, VISALIA, CA 93292-3629
(559) 623-0900
Mailing address
1166 CITY PARK LN, DECATUR, GA 30033-6500
(858) 798-6651
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
192860-1
NY
Other
Enumeration date
01/05/2007
Last updated
09/23/2020
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