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Dr. Modesto Santos Rivera, MD
Specialist in Prince Frederick, Maryland
NPI 1295821031

Modesto Santos Rivera is a Specialist based in Prince Frederick, MD. Modesto Santos Rivera practices in Prince Frederick, MD and has the professional credentials of MD. The NPI Number for Modesto Santos Rivera is 1295821031 and holds a License No. D19963 (Maryland).

The current practice location address for Modesto Santos Rivera is 806 Solomons Island Rd., Prince Frederick, MD and can be reached out via phone at 410-535-4242 and via fax at 410-535-4983.

Location: 806 Solomons Island Rd., Prince Frederick, MD, 20678
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295821031
Provider Name
Modesto Santos Rivera
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
806 Solomons Island Rd., Prince Frederick, MD, 20678
Phone Number
410-535-4242
Fax Number
410-535-4983
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0283 01 GHMSI
2122218 01 MAMSI
institution
Provider Business Practice Location Address Details
Address
806 Solomons Island Rd.
City
Prince Frederick
State
Maryland
Zip
20678
Phone Number
410-535-4242
Fax Number
410-535-4983
person
Provider Business Mailing Address Details
Address
806 Solomons Island Rd.
City
Prince Frederick
State
Maryland
Zip
20678
Phone Number
410-535-4242
Fax Number
410-535-4983
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
D19963 (Maryland)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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