MEDICARE: DR. ORLANDO HERACLIO RIVERA DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	1311	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	480032577	OTHER		RAILROAD MEDICARE NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1311	OTHER	TX	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1720016827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ORLANDO HERACLIO RIVERA DPM

Provider Business Mailing Address
First Line	:	5225 KATY FWY STE 650
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2255
Country	:	US
Telephone Number	:	713-691-9600
Fax Number	:	713-692-9663

Provider Business Practice Location Address
First Line	:	5225 KATY FWY STE 650
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2255
Country	:	US
Telephone Number	:	713-691-9600
Fax Number	:	713-692-9663

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

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	05/20/2020

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Directions to “ DR. ORLANDO HERACLIO RIVERA DPM” Practice Location

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