Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Raymond Manuel Rivera Vergara

Individual provider General Practice Physician · NPI 1851761555

Raymond Manuel Rivera Vergara is a General Practice Physician in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania and Puerto Rico.

Licensed in
PA, PR
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

4720 Pine St Apt C3
Philadelphia, PA 19143-1840
Phone: (267) 595-1655
Fax: (302) 233-7475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence MD478007 (PA)
General Practice Physician Taxonomy 208D00000X · Licence 21515 (PR)

Record details

NPI number1851761555
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 7, 2015
Last updated in NPPESApril 7, 2023
Certification dateApril 7, 2023

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