Individual
MIGUEL N RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
149 13TH ST, BLDG 149, ROOM 7-101, CHARLESTOWN, MA 02129-2020
(617) 726-5475
Mailing address
17 LEE ST # T5, CAMBRIDGE, MA 02139-2203
(617) 354-1903
Taxonomy
Speciality
Code
Description
License number
State
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
Primary
223369
MA
207ZP0101X
Anatomic Pathology Physician
223369
MA
Other
Enumeration date
05/11/2007
Last updated
09/11/2025
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