Provider Demographics
NPI:1972131795
Name:RIVERA-DELGADO, GABRIEL ADRIAN (MD)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:ADRIAN
Last Name:RIVERA-DELGADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:150 BROADWAY RM 502
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4380
Mailing Address - Country:US
Mailing Address - Phone:845-808-9899
Mailing Address - Fax:
Practice Address - Street 1:1215 LEE ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0816
Practice Address - Country:US
Practice Address - Phone:434-924-5314
Practice Address - Fax:434-243-4743
Is Sole Proprietor?:No
Enumeration Date:2020-03-28
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYFR41582472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry