Individual
JAVIER EDUARDO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACAGNP
Contact information
Practice address
725 ALBANY ST, STE 9B & C, SHAPIRO BLDG, BOSTON, MA 02118-2526
(617) 414-4290
(617) 414-4285
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2299369
MA
363LA2200X
Adult Health Nurse Practitioner
RN2299369
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110168791A
—
MA
Enumeration date
04/26/2018
Last updated
06/21/2023
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