MEDICARE: RIVERA BELTRAN CARE CLINIC PLLC

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	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1619812021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERA BELTRAN CARE CLINIC PLLC

Provider Business Mailing Address
First Line	:	3650 S EASTERN AVE STE 100-N
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3379
Country	:	US
Telephone Number	:	725-325-2763
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 S EASTERN AVE STE 100-N
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3379
Country	:	US
Telephone Number	:	725-325-2763
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. HERIBERTO RIVERA BELTRAN
Credential	:	APRN
Telephone Number	:	725-325-2763

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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