Individual
ROBERT MARCELINO RIVERA ALBURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 ANTREVILLE HIGHWAY, IVA, SC 29655
(864) 348-6122
(864) 348-7892
Mailing address
PO BOX 267, IVA, SC 29655-0267
(864) 348-6122
(864) 348-7892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27958
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279585
—
SC
01
—
TAX ID
57-0359174
—
Enumeration date
06/14/2007
Last updated
05/25/2023
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