Provider Demographics
NPI:1841569167
Name:RIERA, ANDRES (MD)
Entity Type:Individual
Prefix:
First Name:ANDRES
Middle Name:
Last Name:RIERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S 7TH AVE STE 2070
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1453
Mailing Address - Country:US
Mailing Address - Phone:215-662-6200
Mailing Address - Fax:215-615-1298
Practice Address - Street 1:301 S 7TH AVE STE 2070
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1453
Practice Address - Country:US
Practice Address - Phone:215-662-6200
Practice Address - Fax:215-615-1298
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT187497207R00000X
NJ25MA09029400207R00000X
PAMD446833207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine