Individual
JESSICA C RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1542 TULANE AVE, NEW ORLEANS, LA 70112-2865
(504) 568-4680
Mailing address
203 FOREST OAKS DR, NEW ORLEANS, LA 70131-3377
(210) 232-1514
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
321514
LA
207X00000X
Orthopaedic Surgery Physician
44329
TN
Other
Enumeration date
06/18/2007
Last updated
05/13/2020
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