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Individual

DR. ALFONSO P RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6100 W CREEK RD STE 35, INDEPENDENCE, OH 44131-2133
(216) 986-2915
Mailing address
6100 W CREEK RD STE 35, INDEPENDENCE, OH 44131-2133
(216) 986-2915

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
ME77436
FL
2085R0202X
Diagnostic Radiology Physician
ME77436
FL

Other

Enumeration date
07/18/2006
Last updated
10/19/2020
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