Individual
DR. RAYMOND MAURICIO RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15111 TWELVE OAKS CENTER DR, MINNETONKA, MN 55305-5201
(952) 993-4500
(952) 993-4676
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53974
MN
207Q00000X
Family Medicine Physician
MT192772
PA
Other
Enumeration date
11/10/2009
Last updated
06/17/2021
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