Individual
DR. MARIANGELA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 MEDICAL PARK RD STE 300, COLUMBIA, SC 29203-6839
(803) 434-8800
(803) 929-0492
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
51819
SC
208600000X
Surgery Physician
Primary
51819
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518194
—
SC
Enumeration date
04/01/2010
Last updated
02/09/2023
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