| NPI | 1063221836 |
|---|---|
| Other Name | CARLOS RIVERA |
| Doing Business As | CMR WOUND HOUSECALL |
| Entity Type | Organization |
| Authorized Contact | CARLOS RIVERA Provider 623-377-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |