Individual
RICHARD RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1080 CHINOOK LN, PUEBLO, CO 81001-1850
(719) 564-9400
(719) 564-0497
Mailing address
1080 CHINOOK LN, PUEBLO, CO 81001-1850
(719) 564-9400
(719) 564-0497
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19885
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01198852
—
CO
Enumeration date
02/22/2006
Last updated
04/24/2017
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