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NPI Code Detail

MEDICARE: AUDREY FRANCO RIVERA

MEDICARE:   AUDREY FRANCO 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
1235Z00000XSpeech-Language Pathologist101560TX

General Provider Information

NPI Number : 1578697561
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREY FRANCO RIVERA
Provider Business Mailing Address
First Line : 400 RIO FANGO
Second Line :
City : EL PASO
State : TX
Zip : 79932-2360
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6028 SURETY DR
Second Line :
City : EL PASO
State : TX
Zip : 79905-2024
Country : US
Telephone Number : 915-771-8523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 10/08/2008

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Directions to “ AUDREY FRANCO RIVERA ” Practice Location

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