RICHARD RIVERA MDPC NPI 1992973473

NPI Information

NPI: 1992973473
Provider Name: RICHARD RIVERA MDPC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1080 CHINOOK LN
PUEBLO, CO
ZIP 81001
Phone: (719) 564-9400
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RICHARD RIVERA MDPC is a health service clinic center in Pueblo, CO. RICHARD RIVERA MDPC NPI is 1992973473. The provider is registered as an organization entity type.

The provider's business location address is:

1080 CHINOOK LN
PUEBLO, CO
ZIP 81001-850
Phone: (719) 564-9400
Fax: (719) 564-0497

The provider's authorized official is Richard Rivera .
The authorized official title is Owner and has the following contact phone number (719) 564-9400.

The enumeration date for this NPI number is 2/18/2008 and was last updated on 4/21/2021.

Taxonomy Codes

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	19885	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04835047	MEDICAID	COLORADO

What is NPI?

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: 4/28/2024

NPI Synchronization or Removal

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