Individual
MATEO ANTONIO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 CHESTNUT ST, SPRINGFIELD, MA 01103-1100
(413) 734-4978
Mailing address
21 AMES ST, SPRINGFIELD, MA 01104-1325
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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