Provider Demographics
NPI:1710142807
Name:RIVERO, MARIEL (MD)
Entity Type:Individual
Prefix:
First Name:MARIEL
Middle Name:
Last Name:RIVERO
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8000, DEPT. #313
Mailing Address - Street 2:UNIVERSITY AT BUFFALO SURGEONS, INC.
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14267-0002
Mailing Address - Country:US
Mailing Address - Phone:716-888-4889
Mailing Address - Fax:716-849-5620
Practice Address - Street 1:100 HIGH ST
Practice Address - Street 2:DEPT. OF SURGERY
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1126
Practice Address - Country:US
Practice Address - Phone:716-859-4225
Practice Address - Fax:716-859-4222
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2014-02-06
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Provider Licenses
StateLicense IDTaxonomies
NY2612712086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery