Individual
MAURICIO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6889 S.EASTERN AVE, LAS VEGAS, NV 89119
(702) 434-1200
Mailing address
6211 DON GASPAR AVE, LAS VEGAS, NV 89108
(702) 856-6392
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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