Individual
DR. GERANT M RIVERA-SANFELIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9001
(619) 543-6607
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
G74921
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G74921
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G749210
—
CA
Enumeration date
07/13/2006
Last updated
02/28/2020
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