Rivera Medical, LLC

NPI #1649574518 in Carlyle, Illinois

Provider Information

NPI Number
1649574518
Entity Type
Organization
Organization Name
Rivera Medical, LLC
Primary Specialty
Internal Medicine
Enumeration Date
Jan 6, 2011
Last Updated
Jan 6, 2011

Practice Location

Address
1110 MULLIKEN ST
ZIP Code
62231-1233
Phone
(618) 594-3613

Authorized Official

Name
MRS. LISA R RIVERA
Title
OFFICE MANAGER
Phone
(618) 594-3613

Specialties & Taxonomy Codes

Specialty
Pediatrics
Internal Medicine

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Individual Providers

Provider Name
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Provider Name
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