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Fernando H. Rivera, MD
Family Medicine Physician in Lake Station, Indiana
NPI 1073617007

Fernando H. Rivera is a Family Medicine Physician based in Portage, IN. Fernando H. Rivera practices in Lake Station, IN and has the professional credentials of MD. The NPI Number for Fernando H. Rivera is 1073617007 and holds a License No. 01027425 (Indiana).

The current practice location address for Fernando H. Rivera is 2490 Central Ave, Lake Station, IN and can be reached out via phone at 219-763-8112 and via fax at 219-764-3251.

Location: 2490 Central Ave, Lake Station, IN, 46368-9230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073617007
Provider Name
Fernando H. Rivera
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2490 Central Ave, Lake Station, IN, 46368-9230
Phone Number
219-763-8112
Fax Number
219-764-3251
Provider Enumeration Date
09/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100142540 05 IN
institution
Provider Business Practice Location Address Details
Address
2490 Central Ave
City
Lake Station
State
Indiana
Zip
46405-2122
Phone Number
219-763-8112
Fax Number
219-764-3251
person
Provider Business Mailing Address Details
Address
2490 Central Ave
City
Lake Station
State
Indiana
Zip
46405-2122
Phone Number
219-763-8112
Fax Number
219-764-3251
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01027425 (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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