Luis Raul Rivero in Fort Irwin - General Practice
Luis Raul Rivero - NPI 1053382895
Luis Raul Rivero is a General Practice in Fort Irwin, California. Luis Raul Rivero practices all healthcare services and medical treatments related to General Practice. The NPI Number for Luis Raul Rivero is 1053382895. The last update date is 2021-08-10.
Luis Raul Rivero's current location address is Po Box 105109, Fort Irwin, California. You can contact this provider via phone number 7603835284. The mailing address for Luis Raul Rivero is Po Box 105109, Fort Irwin, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luis Raul Rivero |
|---|---|
| Address | Po Box 105109, Fort Irwin, California |
| Phone Number | 7603835284 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D., M.P. |
NPI Number Detail
| NPI Number | 1053382895 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2021-08-10 |
Provider Mailing Address Detail
| Address | Po Box 105109 |
|---|---|
| City | Fort Irwin |
| State | California (CA) |
| Post Code | 923105109 |
| Phone Number | 7603835284 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 12919 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique identifier code issued to Luis Raul Rivero by the Centers for Medicare & Medicaid Services (CMS)?
The Luis Raul Rivero has been assigned the NPI (National Provider Identifier) 1053382895. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Luis Raul Rivero located?
The Luis Raul Rivero is located at Po Box 105109, Fort Irwin, CA 923105109.
What is the Luis Raul Rivero's area of specialization and corresponding taxonomy classification?
The Luis Raul Rivero's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.
On what date did the Luis Raul Rivero receive the assignment of its 1053382895 from the Centers for Medicare & Medicaid Services?
The Luis Raul Rivero was issued its 1053382895 by the Centers for Medicare & Medicaid Services on 2006-01-30.
As of what date was the information regarding Luis Raul Rivero, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Luis Raul Rivero, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-08-10.