Individual
RANDY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-4809
Mailing address
3640 W 130TH ST, CLEVELAND, OH 44111-3404
(216) 941-6194
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67000002
OH
Other
Enumeration date
01/12/2007
Last updated
11/10/2021
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