LUIS EMILIO RIVERA

PHILADELPHIA, PA
NPI1750963617
Former NameLUIS MIRANDA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: PA  MD489388)
Enumeration Date2021-04-21
Last Update Date2026-01-28
Business Address
LUIS EMILIO RIVERA
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-5030
Mailing Address
LUIS EMILIO RIVERA
3509 N BROAD ST
PHILADELPHIA, PA 19140-4105
Phone number: 215-707-2433