Provider Demographics
NPI:1962474817
Name:RIVERA, CHRISTINE NUNEZ (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:NUNEZ
Last Name:RIVERA
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6434 SARATOGA BLVD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-3425
Mailing Address - Country:US
Mailing Address - Phone:361-991-1885
Mailing Address - Fax:361-991-1839
Practice Address - Street 1:6434 SARATOGA BLVD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-3425
Practice Address - Country:US
Practice Address - Phone:361-991-1885
Practice Address - Fax:361-991-1839
Is Sole Proprietor?:No
Enumeration Date:2006-02-05
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1908208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXK1908OtherMEDICAL LICENSE