Provider Demographics
NPI:1144421520
Name:RIVAS, MARIA (MD, FACP, FACE)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:RIVAS
Suffix:
Gender:F
Credentials:MD, FACP, FACE
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:DEL CARMEN
Other - Last Name:RIVAS-AGUILERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4631 HICKORY CT
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-9424
Mailing Address - Country:US
Mailing Address - Phone:317-873-5012
Mailing Address - Fax:
Practice Address - Street 1:4631 HICKORY CT
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-9424
Practice Address - Country:US
Practice Address - Phone:317-873-5012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11459207RE0101X
NY184639207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism