Rivera Maza, Manuel G
Rivera Maza, Manuel G is an individual health care provider with primary practice located at 2525 W University Ave Ste 300 , Muncie IN 47303-3432. He recently has 4 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Rivera Maza, Manuel G can be contacted via phone (765) 289-5420.Contact Information
Primary practice address
2525 W University Ave Ste 300
Muncie IN 47303-3432
Phone: (765) 289-5420
Fax: (765) 281-2065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 2019016629 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01089549A | Indiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 01089549A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01089549A | Indiana |
Profile Details
| NPI number | 1144601816 |
|---|---|
| LBN Legal business name | Rivera Maza, Manuel G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2015 |
| Last updated | Jun 15th, 2026 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144601816 | NPPES |
| Indiana | MEDICAID | 300074529 | |
| Indiana | Other | 1103102530 |
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