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NPI Code Detail

MEDICARE: RIVERA GROUP

MEDICARE: RIVERA GROUP
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1487461281
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVERA GROUP
Provider Business Mailing Address
First Line : 3210 35TH ST APT 1F
Second Line :
City : ASTORIA
State : NY
Zip : 11106-1147
Country : US
Telephone Number : 859-810-1597
Fax Number :
Provider Business Practice Location Address
First Line : 3210 35TH ST APT 1F
Second Line :
City : ASTORIA
State : NY
Zip : 11106-1147
Country : US
Telephone Number : 859-810-1597
Fax Number : 347-867-8922
Authorized Official
Title or Position : PRESIDENT
Name : DR. JEROME TOLENTINO RIVERA JR.
Credential : DPT
Telephone Number : 859-810-1597
Provider Enumeration Date : 12/16/2024
Last Update Date : 12/02/2025

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Directions to “RIVERA GROUP ” Practice Location

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