Provider Demographics
NPI:1194865485
Name:RIVERO, MARIA V (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:V
Last Name:RIVERO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1333 BUSH STREET
Mailing Address - Street 2:ON LOK SENIOR SERVICES
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109
Mailing Address - Country:US
Mailing Address - Phone:925-451-1454
Mailing Address - Fax:415-292-8845
Practice Address - Street 1:1333 BUSH ST
Practice Address - Street 2:ON LOK SENIOR SERVICES
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5611
Practice Address - Country:US
Practice Address - Phone:925-451-1454
Practice Address - Fax:415-292-8845
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2012-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG61715207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G617150Medicaid
CA00G617150Medicaid