Healthcare Provider Details

I. General information

NPI: 1093806259
Provider Name (Legal Business Name): FRANK RIVAS MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 FOURTH AVE
HUNTINGTON WV
25704
US

IV. Provider business mailing address

FRANK RIVAS MD INC PO BOX 9129
HUNTINGTON WV
25704
US

V. Phone/Fax

Practice location:
  • Phone: 304-529-3223
  • Fax: 304-529-2730
Mailing address:
  • Phone: 304-529-3223
  • Fax: 304-529-2730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number12133
License Number StateWV

VIII. Authorized Official

Name: DR. FRANK RIVAS
Title or Position: PRESIDENT
Credential: MD
Phone: 304-529-3223