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NPI Code Detail

MEDICARE: DR. GINA PAOLA RIVERA ZELAYA MD

MEDICARE: DR. GINA PAOLA RIVERA ZELAYA MD
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
1207Q00000XFamily Medicine Physician01072197AIN

General Provider Information

NPI Number : 1659692465
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GINA PAOLA RIVERA ZELAYA MD
Provider Business Mailing Address
First Line : PO BOX 637764
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-7764
Country : US
Telephone Number : 317-880-3939
Fax Number :
Provider Business Practice Location Address
First Line : 9443 E 38TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46235-2132
Country : US
Telephone Number : 317-890-2100
Fax Number : 317-890-2171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2010
Last Update Date : 09/30/2025

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