Organization
RICHARD RIVERA MDPC
Active
Parent organization
RICHARD RIVERA MDPC
Other names
Health Trac LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RICHARD RIVERA MDPC
Authorized official
JANET R ORTIZ (MANAGER)
(719) 564-9400
Entity
Organization
Contact information
Practice address
127 JUSTICE CENTER RD STE J, CANON CITY, CO 81212-9378
(719) 269-1136
(719) 269-1186
Mailing address
127 JUSTICE CENTER RD STE J, CANON CITY, CO 81212-9378
(719) 269-1136
(719) 269-1186
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61024821
—
CO
Enumeration date
04/14/2021
Last updated
04/14/2021
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