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Individual

DR. ALFREDO NICODEMUS RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4760 RED BANK RD, STE 217, CINCINNATI, OH 45227-1548
(513) 297-4070
(513) 297-4070
Mailing address
4760 RED BANK RD, STE 217, CINCINNATI, OH 45227-1548
(513) 297-4070
(513) 297-4070

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35-068271
OH
2084P0800X
Psychiatry Physician
36592
KY
2084P0805X
Geriatric Psychiatry Physician
Primary
35-068271
OH
2084P0805X
Geriatric Psychiatry Physician
36592
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0253014
OH
05
200131720
IN
01
260049430
RAILROAD MEDICARE
OH
05
64048986
KY
Enumeration date
10/02/2006
Last updated
01/27/2022
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