Provider Demographics
NPI:1396780409
Name:RIVERO BECERRA, JORGE NELSON (MD)
Entity type:Individual
Prefix:DR
First Name:JORGE
Middle Name:NELSON
Last Name:RIVERO BECERRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:363 VANADIUM RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1497
Mailing Address - Country:US
Mailing Address - Phone:412-279-1231
Mailing Address - Fax:412-276-0935
Practice Address - Street 1:363 VANADIUM RD
Practice Address - Street 2:SUITE 106
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1497
Practice Address - Country:US
Practice Address - Phone:412-279-1231
Practice Address - Fax:412-276-0935
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY234995208VP0014X, 207R00000X
PAMD441214208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine