Dr. Gustavo Adolfo Rivero, M.D.
Internal Medicine, Hematology in Washington, DC. Individual provider (NPI-1).
NPI number1790736155
StatusActive
Last updated in NPPESSep 16, 2024
Details
- NPI
- 1790736155
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gustavo Adolfo Rivero
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2006
- Certification date
- Sep 16, 2024
- Last updated
- Sep 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0000X | Internal Medicine, Hematology | MD210003079 | DC | Yes |
| 207R00000X | Internal Medicine | P3066 | TX | |
| 207R00000X | Internal Medicine | ME 93827 | FL | |
| 207RH0000X | Internal Medicine, Hematology | P3066 | TX | |
| 207RH0003X | Internal Medicine, Hematology & Oncology | P3066 | TX |
Practice location
3800 Reservoir Rd NwWashington, DC 20007-2113
Phone 202-444-3736 · Fax 202-444-0939
Mailing address
500 Frank W Burr BoulevardSuite 560 Mailbox 29
Teaneck, NJ 07666
Phone 201-510-0910 · Fax 201-621-6931
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