Rivera, Modesto Santos
Rivera, Modesto Santos is an sole proprietor health care provider with primary practice located at 806 Solomons Island Rd. , Prince Frederick MD 20678. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rivera, Modesto Santos can be contacted via phone (410) 535-4242.Contact Information
Primary practice address
806 Solomons Island Rd.
Prince Frederick MD 20678
Phone: (410) 535-4242
Fax: (410) 535-4983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D19963 | Maryland |
Profile Details
| NPI number | 1295821031 |
|---|---|
| LBN Legal business name | Rivera, Modesto Santos |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years 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 | 1295821031 | NPPES |
| Other | 0283 | GHMSI | |
| Other | 2122218 | GHMSI |
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