Individual
DR. RICARDO RIVERA-YAGNICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 GRANT ST, EMERGENCY DEPARTMENT, GARY, IN 46402-6001
(219) 886-4289
Mailing address
600 GRANT ST, EMERGENCY DEPARTMENT, GARY, IN 46402-6001
(219) 886-4289
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01076402A
IN
207P00000X
Emergency Medicine Physician
036170754
IL
207P00000X
Emergency Medicine Physician
4014-320
WI
Other
Enumeration date
06/28/2012
Last updated
12/19/2024
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