Organization
DRS RIVERA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFREDO RIVERA M.D. (PRESIDENT)
(513) 297-4070
Entity
Organization
Contact information
Practice address
4460 RED BANK RD, STE 200, CINCINNATI, OH 45227-2172
(513) 297-4070
(513) 297-4070
Mailing address
PO BOX 932347, CLEVELAND, OH 44193-0001
(513) 891-2813
(513) 891-1039
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200970290 A
—
IN
05
—
2962370
—
OH
05
—
65937740
—
KY
01
—
CJ6438
RR MEDICARE
OH
Enumeration date
05/23/2005
Last updated
03/23/2011
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