| NPI | 1780045682 |
|---|---|
| Professional Name | MARK JEFFERSON RIVERA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A157872) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A157872) |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2023-08-24 |