Rommel Rivera, M.d., P.c.

Psychiatry · Philadelphia, PA

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At a glance

110 S 20Th St, Philadelphia, PA 19103-4486

NPPES record updated Jan 26, 2009. Public records can lag behind changes at a practice.

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Practice location

110 S 20Th St Suite 206
Philadelphia, PA 19103-4486

Professional details: NPI, taxonomy & registry record

NPI1760620900

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Registry details

Primary taxonomy: Psychiatry
Taxonomy code: 2084P0800X
Enumeration date: Jan 26, 2009
Record updated: Jan 26, 2009

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Psychiatry

2084P0800X · Primary

License reported: MD060112L PA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

110 S 20Th St
Suite 206
Philadelphia, PA 19103-4486

Phone: (610) 892-0565

Mailing address

2084 N RIDLEY CREEK RD

MEDIA, PA 190634531

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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