Eduardo G Rivera in Madison - Mohs-micrographic Surgery

Eduardo G Rivera - NPI 1457428096

Eduardo G Rivera is a Mohs-micrographic Surgery in Madison, Indiana. Eduardo G Rivera practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Eduardo G Rivera is 1457428096. The last update date is 2009-12-18.

Eduardo G Rivera's current location address is 122 Demaree Dr, Madison, Indiana. You can contact this provider via phone number 8122659191 and fax number 8122651050. The mailing address for Eduardo G Rivera is 122 Demaree Dr, Madison, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Eduardo G Rivera
Address 122 Demaree Dr, Madison, Indiana
Phone Number 8122659191
Fax Number 8122651050
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1457428096
Provider Enumeration Date 2006-11-29
Last Updated Date 2009-12-18

Provider Mailing Address Detail

Address 122 Demaree Dr
City Madison
State Indiana (IN)
Post Code 472504622
Phone Number 8122659191
Fax Number 8122651050

Provider's Primary Taxonomy Detail

Speciality Mohs-micrographic Surgery
Taxonomy 207Nd0101X
Licence No 1050279
Definition:
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
65504 IN COLUMBUS SIHO ID
50007573 KY --
7514003 IN AETNA PROVIDER NUMBER
368119 IN ANTHEM BCBS IN PROV NUMB
20897 IN IN HEALTH NETWORK ID

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FAQs about Eduardo G Rivera

What is the unique 10-digit identification code assigned to Eduardo G Rivera by the Centers for Medicare & Medicaid Services?

The Eduardo G Rivera has been issued the NPI (National Provider Identifier) 1457428096, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Eduardo G Rivera?

The Eduardo G Rivera is physically situated at 122 Demaree Dr, in the city of Madison, state of IN, with the postal code 472504622.

What is Eduardo G Rivera's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Eduardo G Rivera is Mohs-micrographic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207Nd0101X.

On what date was the 1457428096 assigned to Eduardo G Rivera?

The Eduardo G Rivera was issued its 1457428096 on 2006-11-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Eduardo G Rivera most recently updated or revised?

The information pertaining to Eduardo G Rivera, including its address, specialty, and other relevant details, was last updated or revised on 2009-12-18.

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