Healthcare Provider Details

I. General information

NPI: 1568323053
Provider Name (Legal Business Name): CLAUDIA RIVERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6709 ACADEMY RD NE STE A
ALBUQUERQUE NM
87109-3363
US

IV. Provider business mailing address

5521 NW 174TH DR
MIAMI GARDENS FL
33055-3536
US

V. Phone/Fax

Practice location:
  • Phone: 505-308-3145
  • Fax: 505-308-3147
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number87486
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: