SearchPennsylvania101Y00000X

Wildfred Rivera

NPI 1871983510 · on the registry since 2015 · sole proprietor

Practice

Address
6060 Crescentville Rd
Apt Na 11
Philadelphia, PA 19120
Phone
(856) 426-3166

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania