Individual
LUIS RAFAEL RIVERA AGUASVIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2055 E SOUTH BLVD STE 601, MONTGOMERY, AL 36116-2014
(334) 747-2999
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
49314
AL
390200000X
Student in an Organized Health Care Education/Training Program
TRN29803
FL
Other
Enumeration date
03/29/2019
Last updated
06/10/2025
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