Individual
DR. JOHN EDWIN RIVERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PO BOX 770, MILLDALE, CT 06467-0770
(860) 621-5554
(860) 621-3833
Mailing address
20 YORK ST, CB-2041, NEW HAVEN, CT 06504-8900
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042567
CT
332B00000X
Durable Medical Equipment & Medical Supplies
042567
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042567
STATE MEDICAL LICENSE
CT
Enumeration date
04/26/2006
Last updated
03/31/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us