Search › Wisconsin › 207R00000X
Manuel Rivera, M.D
NPI 1184690133 · on the registry since 2006
Practice
- Address
- 4536 22nd Ave
Kenosha, WI 53140 - Phone
- (262) 656-0044
- Fax
- (262) 653-2218
- Organisation at this address
- Kenosha Community Health Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 26
Additional practice sites
- 5000 Memorial Dr, Two Rivers, WI
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207PE0004X
- Licence states on file
- TX, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin