Healthcare Provider Details

I. General information

NPI: 1124871413
Provider Name (Legal Business Name): ALMANELI RIVERA-AGUIRRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49774 ROAD 426 STE D
OAKHURST CA
93644-8691
US

IV. Provider business mailing address

13572 ROAD 28 1/2
MADERA CA
93638-5817
US

V. Phone/Fax

Practice location:
  • Phone: 559-683-4809
  • Fax: 559-683-6499
Mailing address:
  • Phone: 559-514-2984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: