Individual
MARIO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3369 BUFORD HWY NE, SUITE 810, ATLANTA, GA 30329-3722
(404) 321-4692
Mailing address
3369 BUFORD HWY NE, SUITE 810, ATLANTA, GA 30329-3722
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
27722
ZZ
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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