Organization Name: | UNDA-RIVERA MD LLC |
NPI Number: | 1083951560 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAFAEL FRANCISCO UNDA-RIVERA (OWNER) |
Mailing Address: | 907 E Reed St Hayti |
State: | MO US |
Postal Code: | 638511242 |
Phone Number: | 5733593660 |
Fax Number: | 5733593521 |
NPI Enumeration Date: | 01/03/2013 |
NPI Last Update Date: | 01/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 2011024431 |
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. |