| Raymond Manuel Rivera Vergara, | |
|
4720 Pine St Apt C3, Philadelphia, PA 19143-1840 | |
| (267) 595-1655 | |
| (302) 233-7475 |
| Full Name | Raymond Manuel Rivera Vergara |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 4720 Pine St Apt C3, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851761555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD478007 (Pennsylvania) | Primary |
| 208D00000X | General Practice | 21515 (Puerto Rico) | Secondary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191216001523 |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond Manuel Rivera Vergara, 4720 Pine St Apt C3, Philadelphia, PA 19143-1840 Ph: (267) 595-1655 | Raymond Manuel Rivera Vergara, 4720 Pine St Apt C3, Philadelphia, PA 19143-1840 Ph: (267) 595-1655 |
Dr. Maria I Flores, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 401-55 West Allegheny Avenue, Philadelphia, PA 19133 Phone: 215-291-2500 Fax: 215-232-4093 | |
Michael Ross Kaufman, MD General Practice Medicare: Medicare Enrolled Practice Location: 3 Crescent Dr Ste 2000, Philadelphia, PA 19112 Phone: 800-533-3669 | |
Mohammed Shayan Abdullah, General Practice Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151 | |
Dr. Briana M Calderon Parker, MD General Practice Medicare: Medicare Enrolled Practice Location: 5501 Old York Rd Ste 1, Philadelphia, PA 19141 Phone: 215-456-7890 | |
Mr. Dustin Daniel Flannery, DO General Practice Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Division Of Neonatology, Philadelphia, PA 19104 Phone: 215-662-3228 | |
Laura Uwakwe, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 230 N Broad St, Philadelphia, PA 19102 Phone: 917-388-0396 | |
Dr. Richard Dozor, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 200 Locust St, 31-b, Philadelphia, PA 19106 Phone: 215-627-0917 |