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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