Provider Demographics
NPI:1790934503
Name:RIVERA PABON, FRANCISCO RAFAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:RAFAEL
Last Name:RIVERA PABON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:380 W VISTA HERMOSA DR
Mailing Address - Street 2:STE 140
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85614-1901
Mailing Address - Country:US
Mailing Address - Phone:520-399-2291
Mailing Address - Fax:520-399-0180
Practice Address - Street 1:380 W VISTA HERMOSA DR
Practice Address - Street 2:STE 140
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-1901
Practice Address - Country:US
Practice Address - Phone:520-399-2291
Practice Address - Fax:520-399-0180
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ45156207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine