| Fernando H Rivera, MD | |
|
2490 Central Ave, Lake Station, IN 46405-2122 | |
| (219) 763-8112 | |
| (219) 764-3251 |
| Full Name | Fernando H Rivera |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2490 Central Ave, Lake Station, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073617007 | NPI | - | NPPES |
| 100142540 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01027425 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Fernando H Rivera, MD Po Box 1430, Portage, IN 46368-9230 Ph: (219) 763-8112 | Fernando H Rivera, MD 2490 Central Ave, Lake Station, IN 46405-2122 Ph: (219) 763-8112 |
Reynaldo Martin Caluag, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 219-763-8112 Fax: 219-962-1580 | |
Dr. Marie-lesly Emmanuel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 210-358-3888 |