MEDICARE: ALICIA RIVERA-CLEMENTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		TX

General Provider Information

NPI Number	:	1003749888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA RIVERA-CLEMENTE

Provider Business Mailing Address
First Line	:	1627 E 11TH ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-2737
Country	:	US
Telephone Number	:	512-998-9371
Fax Number	:

Provider Business Practice Location Address
First Line	:	1627 E 11TH ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-2737
Country	:	US
Telephone Number	:	512-998-9371
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ ALICIA RIVERA-CLEMENTE ” Practice Location

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