Doctor Name: | DR. VICTOR RIVERA |
NPI Number: | 1073584793 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | R8843 |
Business Practice Address: | 3535 S Jefferson Ave Suite 106 Saint Louis, MO - 631183930 |
Business Phone Number: | 3147714600 |
Business Fax Number: | 3147711701 |
Mailing Address: | 3535 S Jefferson Ave, Suite 106 SAINT LOUIS |
State: | MO |
Postal Code: | 631183930 |
Phone Number: | 3147714600 |
Fax Number: | 3147711701 |
NPI Enumeration Date: | 01/30/2006 |
NPI Last Update Date: | 08/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | R8843 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |