MODESTO S RIVERA III MD PA is a clinic center in Prnc Frederck, MD. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MODESTO S RIVERA III MD PA NPI is 1922325026. The provider is registered as an organization entity type.
The provider's business location address is:
806 SOLOMONS ISLAND RD N PRNC FREDERCK, MD ZIP 20678-919 Phone: (410) 535-3424 Fax: (410) 535-4983
The provider's authorized official is Modesto Santos Rivera . The authorized official title is President and has the following contact phone number (410) 535-4242.
The enumeration date for this NPI number is 4/28/2010 and was last updated on 4/28/2010.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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