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NPI Code Detail

MEDICARE: DR. LUIS A RIVERA PHD

MEDICARE: DR. LUIS A RIVERA PHD
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
1103T00000XPsychologistPS008271LPA
2103TB0200XCognitive & Behavioral PsychologistPS008271LPA
3103TC0700XClinical PsychologistPS008271LPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1620006804OTHERPARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2176911000OTHERPAMAGELLAN
301096302OTHERPACAPITAL BLUE CROSS
4124991OTHERPAVALUE OPTIONS
52057198OTHERPACIGNA BEHAVIORAL HEALTH
6875698OTHERPAPA BLUE SHIELD
768711601OTHERPABC/BS MARYLAND CAREFIRST
8243651OTHERPAMAMSI

General Provider Information

NPI Number : 1972543338
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUIS A RIVERA PHD
Provider Business Mailing Address
First Line : 3421 CONCORD RD
Second Line :
City : YORK
State : PA
Zip : 17402-9001
Country : US
Telephone Number : 717-851-6340
Fax Number : 717-851-6349
Provider Business Practice Location Address
First Line : 3550 CONCORD RD
Second Line :
City : YORK
State : PA
Zip : 17402-8626
Country : US
Telephone Number : 717-851-6340
Fax Number : 717-851-6349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 12/22/2017

Similar Medicare Providers

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Practice Location Address:
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1821038605 — DR. ANN M STIPE PHD, LCSW, CAC, RN
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1073553806 — SHERRY A RICHARDS MSW, LCSW
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1982645776 — JOSEPH MOTACKI MD
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1952343378 — LAURA B HELTEBRIDLE MA
Practice Location Address:
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Directions to “ DR. LUIS A RIVERA PHD” Practice Location

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