| Miguel P. Rivera, M.d. A.p.m.c. | |
|
3939 Houma Blvd Ste 216 Metairie LA 70006-6673 | |
| (504) 888-3292 | |
| (504) 888-3692 |
| Full Name | Miguel P. Rivera, M.d. A.p.m.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3939 Houma Blvd, Metairie, Louisiana |
| Authorized Official Name and Position | Miguel Pablo Rivera (PHYSICIAN) |
| Authorized Official Contact | 5048883292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miguel P. Rivera, M.d. A.p.m.c. 3939 Houma Blvd Ste 216 Metairie LA 70006-6673 Ph: (504) 888-3292 | Miguel P. Rivera, M.d. A.p.m.c. 3939 Houma Blvd Ste 216 Metairie LA 70006-6673 Ph: (504) 888-3292 |
| NPI Number | 1730290396 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 09/11/2012 |
| Medicare PECOS PAC ID | 5496948960 |
|---|---|
| Medicare Enrollment ID | O20101018000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730290396 | NPI | - | NPPES |
| 5D653 | Other | LA | MEDICARE |
| CI3961 | Other | LA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 07271R (Louisiana) | Primary |
| Provider Name | Miguel Pablo Rivera |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104840404 PECOS PAC ID: 2264625722 Enrollment ID: I20101018000564 |
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