Individual
DR. RAFAEL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-0050
Mailing address
561 10TH AVE, NEW YORK, NY 10036-3059
(212) 263-0050
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
204241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02177351
—
NY
Enumeration date
04/20/2006
Last updated
02/21/2013
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