Provider Demographics
NPI:1881723799
Name:RIVERA, YARELIE M (DC)
Entity type:Individual
Prefix:DR
First Name:YARELIE
Middle Name:M
Last Name:RIVERA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:734 E WARRINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15210-1565
Mailing Address - Country:US
Mailing Address - Phone:412-482-3727
Mailing Address - Fax:412-894-7232
Practice Address - Street 1:734 E WARRINGTON AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15210-1565
Practice Address - Country:US
Practice Address - Phone:412-482-3727
Practice Address - Fax:412-894-7232
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009348111N00000X
PR402111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7682678OtherAETNA
PA438496OtherHEALTH AMERICA
PA21932OtherASHN
PARI1691035OtherHIGHMARK
PA21932OtherASHN
V05119Medicare UPIN