Rivera Ortiz, Maria Michelle

Rivera Ortiz, Maria Michelle is an sole proprietor health care provider with primary practice located at 111 Washington Ave Nw , Wagner SD 57380-4300. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Rivera Ortiz, Maria Michelle can be contacted via phone (605) 384-3621.

Contact Information

Primary practice address
111 Washington Ave Nw Wagner SD 57380-4300
Phone: (605) 384-3621
Fax: (605) 384-5229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 15680 Puerto Rico

Profile Details

NPI number 1538266655
LBN Legal business name Rivera Ortiz, Maria Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Oct 24th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538266655 NPPES
Puerto Rico Other 15680 MEDICAL LICENSE NUMBER

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