Individual
DR. MARIA P RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 RED CREEK DR STE 110, ROCHESTER, NY 14623-4273
(585) 486-0147
Mailing address
601 ELMWOOD AVE BOX MED, ROCHESTER, NY 14642-0001
(585) 486-0147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
169769
NY
207RP1001X
Pulmonary Disease Physician
009300789
NC
207RP1001X
Pulmonary Disease Physician
Primary
169769
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010052216
RAIL ROAD MEDICARE
NC
05
—
8971664
—
NC
Enumeration date
12/13/2006
Last updated
07/17/2023
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