Individual
DR. EUGENIO RIVERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4411 THE 25 WAY NE, STE 150, ALBUQUERQUE, NM 87109-5888
(505) 332-6900
(505) 332-6921
Mailing address
4411 THE 25 WAY NE, STE 150, ALBUQUERQUE, NM 87109-5888
(505) 332-6900
(505) 332-6921
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
92-167
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014212
—
NM
01
—
2258272
MEDICARE GROUP
NM
05
—
45138
—
NM
05
—
52713
—
NM
05
—
L0634
—
NM
Enumeration date
06/09/2005
Last updated
10/18/2007
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