Individual
FEDEL ANDRES MACHADO RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET, AUSTEN 210, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
55 FRUIT STREET, AUSTEN 210, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
3013579
MA
Other
Enumeration date
04/05/2022
Last updated
10/14/2024
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