Provider Demographics
NPI:1609140037
Name:RIVERA & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:RIVERA & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MILAGROS
Authorized Official - Middle Name:T
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-410-8550
Mailing Address - Street 1:771 CORPORATE DR
Mailing Address - Street 2:SUITE 610
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-5405
Mailing Address - Country:US
Mailing Address - Phone:859-410-8550
Mailing Address - Fax:859-223-0642
Practice Address - Street 1:771 CORPORATE DR
Practice Address - Street 2:SUITE 610
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-5440
Practice Address - Country:US
Practice Address - Phone:859-410-8550
Practice Address - Fax:859-223-0642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY33755174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty