Individual provider · Type 1 NPI

Andres Fernando Rivera, MD

Student in an Organized Health Care Education/Training Program · Elmhurst, NY

NPI number 1508481193 Active · reactivated Mar 9, 2022

Practice location

79-01 Broadway
Elmhurst, NY 11373

Call (718) 334-2158 Map

Fax (716) 334-2662

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508481193

Andres Fernando Rivera, MD's National Provider Identifier is 1508481193, issued on Jun 10, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elmhurst, NY. The record was last updated on Mar 24, 2023.