Organization
RICHARD RIVERA MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD RIVERA M.D. (OWNER)
(719) 564-9400
Entity
Organization
Contact information
Practice address
1080 CHINOOK LN, PUEBLO, CO 81001-1850
(719) 564-9400
(719) 564-0497
Mailing address
1080 CHINOOK LN, PUEBLO, CO 81001-1850
(719) 564-9400
(719) 564-0497
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
19885
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04835047
—
CO
Enumeration date
02/18/2008
Last updated
04/21/2021
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