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Individual

ALBERTO R RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD,FACEP

Contact information

Practice address
651 W MOUNT PLEASANT AVE, LIVINGSTON, NJ 07039-1600
(973) 740-0717
Mailing address
1 RIPTIDE PL, PALM COAST, FL 32164-6507
(386) 986-9389

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA04193300
NJ
207P00000X
Emergency Medicine Physician
Primary
ME86259
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0695807
NJ
05
266783500
FL
Enumeration date
05/18/2006
Last updated
05/14/2008
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