Individual
AMY RIVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1319 JEFFERSON HWY, NEW ORLEANS, LA 70121-2406
(504) 842-6406
(504) 842-6265
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD.205298
LA
2086X0206X
Surgical Oncology Physician
Primary
MD.205298
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08755559
—
MS
05
—
2109928
—
LA
Enumeration date
05/31/2010
Last updated
06/09/2022
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