Rivera Reveron, Eugenio
Rivera Reveron, Eugenio is an individual health care provider with primary practice located at 516 E Nizhoni Blvd , Gallup NM 87301-5748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Rivera Reveron, Eugenio can be contacted via phone (505) 722-1000.Contact Information
Primary practice address
516 E Nizhoni Blvd
Gallup NM 87301-5748
Phone: (505) 722-1000
Fax: (505) 722-1421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 011196 | Puerto Rico |
Profile Details
| NPI number | 1639113228 |
|---|---|
| LBN Legal business name | Rivera Reveron, Eugenio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jul 23rd, 2012 - about 14 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 | 1639113228 | NPPES |
| Arizona | MEDICAID | 803694 | |
| Arizona | MEDICAID | 56852827 |
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