Individual
DR. GUSTAVO ADOLFO RIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-3736
(202) 444-0939
Mailing address
500 FRANK W BURR BOULEVARD, SUITE 560 MAILBOX 29, TEANECK, NJ 07666
(201) 510-0910
(201) 621-6931
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME 93827
FL
207R00000X
Internal Medicine Physician
P3066
TX
207RH0000X
Hematology (Internal Medicine) Physician
Primary
MD210003079
DC
207RH0000X
Hematology (Internal Medicine) Physician
P3066
TX
207RH0003X
Hematology & Oncology Physician
P3066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023680306
—
DC
01
—
100127C041273
MCARE 1011
FL
05
—
2741245-00
—
FL
01
—
29467
BCBS
FL
01
—
2Q5020
MEDICARE
DC
01
—
P00384348
RR MCARE
FL
Enumeration date
05/12/2006
Last updated
09/16/2024
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