Fernando H Rivera, MD | |
2490 Central Ave, Lake Station, IN 46405-2122 | |
(219) 763-8112 | |
(219) 764-3251 |
Full Name | Fernando H Rivera |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2490 Central Ave, Lake Station, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073617007 | NPI | - | NPPES |
100142540 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01027425 (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Fernando H Rivera, MD Po Box 1430, Portage, IN 46368-9230 Ph: (219) 763-8112 | Fernando H Rivera, MD 2490 Central Ave, Lake Station, IN 46405-2122 Ph: (219) 763-8112 |
Reynaldo Martin Caluag, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 219-763-8112 Fax: 219-962-1580 | |
Dr. Marie-lesly Emmanuel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 210-358-3888 |