Individual
ENRIQUE J RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 MEDICAL CENTER DR, SUITE 3100, BRUNSWICK, ME 04011-2653
(207) 729-7939
(207) 725-4717
Mailing address
121 MEDICAL CENTER DR, SUITE 3100, BRUNSWICK, ME 04011-2653
(207) 729-7939
(207) 725-4717
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD14447
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037272
ANTHEM
—
05
—
237920099
—
ME
Enumeration date
06/30/2006
Last updated
09/07/2016
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