Richard Rivera Mdpc
Richard Rivera Mdpc is a Health Service Clinic/Center in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2008.
- Licensed in
- CO
- In the registry since
- 2008
Practice location Address checks out
1080 Chinook LnPueblo, CO 81001-1850
Phone: (719) 564-9400
Fax: (719) 564-0497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X · Licence 19885 (CO) |
|---|
Record details
| NPI number | 1992973473 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Rivera — Owner · (719) 564-9400 |
| NPI enumerated | February 18, 2008 |
| Last updated in NPPES | April 21, 2021 |
| Certification date | April 21, 2021 |
| Mailing address | 1080 Chinook Ln, Pueblo, CO 81001-1850 |
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