Doctor Name: | DR. ANGELINA A RIVERO |
NPI Number: | 1033113386 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | F5014 |
Business Practice Address: | 874 W Highway 243 Ste 115 Kaufman, TX - 751421800 |
Business Phone Number: | 9729323388 |
Business Fax Number: | 9729322420 |
Mailing Address: | 874 W Highway 243, Ste 115 KAUFMAN |
State: | TX |
Postal Code: | 751421800 |
Phone Number: | 9729323388 |
Fax Number: | 9729322420 |
NPI Enumeration Date: | 06/01/2005 |
NPI Last Update Date: | 04/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/21/2006 |
NPI Reactivation Date: | 04/05/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | F5014 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |