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NPI Code Detail

MEDICARE: VICTOR M RIVERA M.D.

MEDICARE:   VICTOR M RIVERA  M.D.
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
12084N0400XNeurology PhysicianD9633TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952465700
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTOR M RIVERA M.D.
Provider Business Mailing Address
First Line : 6501 FANNIN ST
Second Line : NB 100
City : HOUSTON
State : TX
Zip : 77030-2703
Country : US
Telephone Number : 713-798-7707
Fax Number :
Provider Business Practice Location Address
First Line : 6501 FANNIN ST
Second Line : NB 100
City : HOUSTON
State : TX
Zip : 77030-2703
Country : US
Telephone Number : 713-798-7707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 11/10/2009

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Directions to “ VICTOR M RIVERA M.D.” Practice Location

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