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NPI Code Detail

MEDICARE: CASSANDRA IRIS RIVERA

MEDICARE:   CASSANDRA IRIS RIVERA
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1588521496
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA IRIS RIVERA
Provider Business Mailing Address
First Line : 45 INDUSTRIAL RD
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-4741
Country : US
Telephone Number : 401-830-4226
Fax Number :
Provider Business Practice Location Address
First Line : 45 INDUSTRIAL RD
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-4741
Country : US
Telephone Number : 401-830-4226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ CASSANDRA IRIS RIVERA ” Practice Location

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