Eugenio Rivera Reveron, MD | |
516 E Nizhoni Blvd, Gallup, NM 87301-5748 | |
(505) 722-1000 | |
(505) 722-1421 |
Full Name | Eugenio Rivera Reveron |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 516 E Nizhoni Blvd, Gallup, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639113228 | NPI | - | NPPES |
803694 | Medicaid | AZ | |
56852827 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 011196 (Puerto Rico) | Primary |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
---|---|
Eugenio Rivera Reveron, MD P.o. Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000 | Eugenio Rivera Reveron, MD 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000 |
Melissa Miller, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1310 | |
Cecilia D. Silva, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1310 | |
Eugene Q Salvador, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 516 East Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1223 Fax: 505-722-1421 | |
Dr. Roen Garcia, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Edward Robles Medina, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1421 | |
Carmelita Agodon, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1901 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301 Phone: 505-863-7120 |