FERNANDO H. RIVERA

LAKE STATION, IN
NPI1073617007
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01027425)
Enumeration Date2006-09-11
Last Update Date2013-03-04
Business Address
-- FERNANDO H. RIVERA M.D.
2490 CENTRAL AVE
LAKE STATION, IN 46405-2122
Phone number: 219-763-8112
Mailing Address
-- FERNANDO H. RIVERA M.D.
PO BOX 1430
PORTAGE, IN 46368-9230
Phone number: 219-763-8112
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