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General NPI Number Information
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NPI Number | 1225244619
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Entity Type | Organization
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Legal Business Name | WILFREDO RIVERA, M.D., P.C.
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 04/14/2020
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Provider Practice Location Address
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Address Line | 2335 S LINDEN RD
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City | FLINT
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State | MI
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Zip | 48532-5497
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Country | US
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Telephone | 810-240-3424
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Fax |
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Provider Business Mailing Address
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Address Line | 2335 S LINDEN RD
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City | FLINT
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State | MI
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Zip | 48532-5497
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Country | US
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Telephone | 810-720-2400
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Fax | 810-720-2401
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | WILFREDO RIVERA
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Credential | MD
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Telephone | 810-720-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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