DR. Carlos J. Rivera, M.D.

NPI #1881652105 in Patchogue, New York

Provider Information

NPI Number: 1881652105
Entity Type: Individual
Name: DR. Carlos J. Rivera, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: May 3, 2006
Last Updated: Mar 18, 2009

Practice Location

Address: 122 W ROE BLVD
City: Patchogue
State: New York
ZIP Code: 11772-2569
Phone: (631) 504-6261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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