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Organization

MIGUEL P. RIVERA, M.D. A.P.M.C.

Active
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Organization

MIGUEL P. RIVERA, M.D. A.P.M.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIGUEL PABLO RIVERA M.D. (PHYSICIAN)
(504) 888-3292
Entity
Organization

Contact information

Practice address
3939 HOUMA BLVD, STE 216, METAIRIE, LA 70006-6673
(504) 888-3292
(504) 888-3692
Mailing address
3939 HOUMA BLVD, STE 216, METAIRIE, LA 70006-6673
(504) 888-3292
(504) 888-3692

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
07271R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5D653
MEDICARE
LA
01
CI3961
RAILROAD MEDICARE
LA
Enumeration date
08/31/2006
Last updated
09/11/2012
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