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Contact Information

HECTOR COLON RIVERA, MBA, MD
4301 RISING SUN AVE
PHILADELPHIA, PA19140-2719
 Phone: 267-296-7220
 Fax: 203-781-4624
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for HECTOR COLON RIVERA · (Male)

NPI Number 1508132119
Status Active
Credentials MBA, MD
Entity Individual
Enumeration date 03/28/2012
Last updated 01/26/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD460473
  • CT Medicaid 004082286
  • CT Medicaid 008022626
  • CT Medicaid 008056168
  • CT Medicaid 500000315
  • PA Medicaid 103409158
  • CT Other 008066315 COLON RIVERA MEDICAID
Hospital affiliation(s)
  • MAIN LINE HOSPITAL LANKENAU - (Acute Care)
    100 LANCASTER AVE
    WYNNEWOOD, PA 19096
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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