Provider Demographics
NPI:1831667005
Name:RIVERO VENTURES LLC
Entity Type:Organization
Organization Name:RIVERO VENTURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARCEL
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:RIVERO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-679-6111
Mailing Address - Street 1:11301 RICHMOND AVE STE K103
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-5549
Mailing Address - Country:US
Mailing Address - Phone:281-679-6111
Mailing Address - Fax:
Practice Address - Street 1:11301 RICHMOND AVE STE K103
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-5549
Practice Address - Country:US
Practice Address - Phone:281-679-6111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center