Provider Demographics
NPI:1588949481
Name:RIVERAMELO, HECTOR MANUEL (DC, DACBR)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:MANUEL
Last Name:RIVERAMELO
Suffix:
Gender:M
Credentials:DC, DACBR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5813 NEWLIN AVE
Mailing Address - Street 2:SUITE. D
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-3029
Mailing Address - Country:US
Mailing Address - Phone:630-744-9293
Mailing Address - Fax:
Practice Address - Street 1:5813 NEWLIN AVE
Practice Address - Street 2:SUITE. D
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-3029
Practice Address - Country:US
Practice Address - Phone:630-744-9293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31621111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor