Victor Rivera MD LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

R8843 Issued in MO

Legal business name

VICTOR RIVERA MD LLC

Practice address

3535 S Jefferson
Suite 106
St Louis, MO 63118

Phone

(314) 771-4600

Fax

(314) 771-1701

NPI assigned

Mar 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Victor Rivera, MD

Title

Owner

Phone

(314) 771-4600

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1043481955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON",
            "address_2": "SUITE 106",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63118",
            "telephone_number": "314-771-4600",
            "fax_number": "314-771-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON",
            "address_2": "SUITE 106",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63118",
            "telephone_number": "314-771-4600",
            "fax_number": "314-771-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR RIVERA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-771-4600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "R8843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austen Vickery
• Joel Gibbons Vickery
• Angela Marie Vickroy, ANP
• Casey Vickstrom, MD, PHD
• Victor J Whittier Sr LLC
• Victor'S Home Care CDS, LLC
• Victor'S Home Care Inc
• Victor'S Home Care, LLC.
• Eliany Victores Amador
• Victors Home Care LLC

• Obstetrics & Gynecology Physician in St Louis, MO
• Providers in St Louis, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.