Individual
AUSTIN RICARDO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6640 WESTVIEW DR, BRECKSVILLE, OH 44141-2902
(216) 233-9290
Mailing address
6640 WESTVIEW DR, BRECKSVILLE, OH 44141-2902
(216) 233-9290
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
000877
OH
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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