Individual
MR. MAURO I RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, RMTI
Contact information
Practice address
430 ALTA VISTA ST, SANTA FE, NM 87505-4140
(505) 920-7024
Mailing address
430 ALTA VISTA ST, SANTA FE, NM 87505-4140
(505) 920-7024
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5354
NM
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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