Healthcare Provider Details

I. General information

NPI: 1114571056
Provider Name (Legal Business Name): CESAR AUGUSTO RIERA GONZALEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2019
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 TULANE AVE RM 733A
NEW ORLEANS LA
70112-2865
US

IV. Provider business mailing address

210 BARONNE ST APT 717
NEW ORLEANS LA
70112-1745
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-2249
  • Fax:
Mailing address:
  • Phone: 202-826-3513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number37426
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: