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NPI Code Detail

MEDICARE: RAUL RIVET M.D.

MEDICARE:   RAUL  RIVET  M.D.
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
1208600000XSurgery Physician93-372NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043243660
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAUL RIVET M.D.
Provider Business Mailing Address
First Line : PO BOX 15160
Second Line :
City : FARMINGTON
State : NM
Zip : 87401-5160
Country : US
Telephone Number : 505-324-2258
Fax Number : 505-324-2259
Provider Business Practice Location Address
First Line : 555 S SCHWARTZ AVE
Second Line :
City : FARMINGTON
State : NM
Zip : 87401-5955
Country : US
Telephone Number : 505-564-8073
Fax Number : 505-324-2259
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2006
Last Update Date : 12/28/2025

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Directions to “ RAUL RIVET M.D.” Practice Location

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