Rivera-Rodriguez, Gabriel

Rivera-Rodriguez, Gabriel is an individual health care provider with primary practice located at 1111 Medical Center Blvd Suite N511, Marrero LA 70072-3151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Rivera-Rodriguez, Gabriel can be contacted via phone (504) 349-6301.

Contact Information

Primary practice address
1111 Medical Center Blvd Suite N511 Marrero LA 70072-3151
Phone: (504) 349-6301
Fax: (504) 349-6308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 10953R Louisiana

Profile Details

NPI number 1366434151
LBN Legal business name Rivera-Rodriguez, Gabriel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Sep 20th, 2013 - about 13 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 1366434151 NPPES
Louisiana Other 1946095 GROUP MEDICAID #
Louisiana Other 5F615 GROUP MEDICAID #
Louisiana Other 1437254984 GROUP MEDICAID #
Louisiana MEDICAID 199318 GROUP MEDICAID #

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