| Doctor Name: | CARLOS A RIVERA |
| NPI Number: | 1942294848 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 34456 |
| Business Practice Address: | 7505 Waters Ave Ste C8 Savannah, GA - 314063825 |
| Business Phone Number: | 9123522606 |
| Business Fax Number: | 9123520623 |
| Mailing Address: | 7505 Waters Ave, Ste C8 SAVANNAH |
| State: | GA |
| Postal Code: | 314063825 |
| Phone Number: | 9123522606 |
| Fax Number: | 9123520623 |
| NPI Enumeration Date: | 09/07/2005 |
| NPI Last Update Date: | 02/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 34456 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |