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Contact Information

AMADEO D RIVERA JR, MD
2 W FERN AVE
REDLANDS, CA92373
 Phone: 909-335-4188
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AMADEO D RIVERA JR · (Male)

NPI # 1205063534
Status Active
Credentials MD
Entity Individual
Enumeration date 06/12/2009
Last updated 02/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A128342
  • CA License # A12842
Hospital affiliation(s) Not Available
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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