MEDICARE: CLAUDIA RIVERA

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
1	171WH0202X	Home Modifications Contractor	2705122757	VA

General Provider Information

NPI Number	:	1235848664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA RIVERA

Provider Business Mailing Address
First Line	:	10049 MIDLOTHIAN TPKE
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-4859
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10049 MIDLOTHIAN TPKE
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-4859
Country	:	US
Telephone Number	:	804-562-3563
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2022
Last Update Date	:	11/15/2022

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Directions to “ CLAUDIA RIVERA ” Practice Location

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