Rivero, Gustavo Adolfo
Rivero, Gustavo Adolfo is an sole proprietor health care provider with primary practice located at 3800 Reservoir Rd Nw , Washington DC 20007-2113. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Rivero, Gustavo Adolfo can be contacted via phone (202) 444-3736.Contact Information
Primary practice address
3800 Reservoir Rd Nw
Washington DC 20007-2113
Phone: (202) 444-3736
Fax: (202) 444-0939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | P3066 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME 93827 | Florida |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | P3066 | Texas |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | MD210003079 | District of Columbia |
Profile Details
| NPI number | 1790736155 |
|---|---|
| LBN Legal business name | Rivero, Gustavo Adolfo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2006 |
| Last updated | Jun 29th, 2023 - about 3 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 | 1790736155 | NPPES |
| Florida | Other | 29467 | BCBS |
| Florida | MEDICAID | 2741245-00 | BCBS |
| Florida | Other | 100127C041273 | BCBS |
| Florida | MEDICAID | 023680306 | BCBS |
| Florida | Other | 2Q5020 | BCBS |
| Florida | Other | P00384348 | BCBS |
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