Individual
CARLOS E RIVERA-TAVAREZ
Active
Individual
CARLOS E RIVERA-TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
36449
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00303528
—
MS
05
—
165909001
—
AR
05
—
3873238
—
TN
Enumeration date
10/03/2005
Last updated
02/16/2023
Update your record
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