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NPI Code Detail

MEDICARE: ERNESTO RIVERA M.D.

MEDICARE:   ERNESTO  RIVERA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianH6930TX

General Provider Information

NPI Number : 1639146533
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERNESTO RIVERA M.D.
Provider Business Mailing Address
First Line : PO BOX 3856
Second Line :
City : AMARILLO
State : TX
Zip : 79116-3856
Country : US
Telephone Number : 806-358-4596
Fax Number : 806-468-0240
Provider Business Practice Location Address
First Line : 1901 PORT LN
Second Line :
City : AMARILLO
State : TX
Zip : 79106-2430
Country : US
Telephone Number : 806-358-4596
Fax Number : 806-468-0240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 01/04/2010

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Directions to “ ERNESTO RIVERA M.D.” Practice Location

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