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General NPI Number Information
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NPI Number | 1356442040
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Entity Type | Individual
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Provider Name | JOSE RIVERO M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 07/08/2009
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Provider Practice Location Address
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Address Line | 8411 STERLING ST SUITE 101
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City | IRVING
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State | TX
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Zip | 75063-1901
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Country | US
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Telephone | 972-929-6633
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Fax |
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Provider Business Mailing Address
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Address Line | 4705 CARTHAGE ST
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City | METAIRIE
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State | LA
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Zip | 70002-1410
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Country | US
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Telephone | 504-885-3602
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 015909
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License Number State | LA
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