MARCELO R. RIVERA MD, INC.
Medical Practice at Main St, Ramona, CA

License number
California G39240
Category
Medical Practice
Type
Specialist
Owner
Name: DR. MARCELO R RIVERA M.D.
Title: OWNER
Phone: (858) 613-8743
Address
Address
1516 Main St #104, Ramona, CA 92065
National Provider ID: 1114105780
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARCELO R. RIVERA, M.D., INC

Poway, CA  -  Ramona, CA

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Marcelo R Rivera MD
Registration:
Aug 1, 1998
Phone:
(858) 613-8743 (Phone)
Addresses:
15644 Pomerado Rd, Poway, CA 92064 (Physical)
1516 Main St, Ramona, CA 92065
State ID:
C2116154
Business type:
Articles of Incorporation
Managers:
Marcelo R. Rivera (President),Debbie Myer Manager, inactive
Agent:
Marcelo R Rivera,Ramona, CA 92065 (Physical)
Categories:
Internal Medicine Physicians & Surgeons, Physicians & Surgeons, Property Management
Products:
Internal Medicine

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