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NPI Code Detail

MEDICARE: MS. PRISCILA GAETA RIVAS

MEDICARE: MS. PRISCILA GAETA RIVAS
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
1372600000XAdult Companion

General Provider Information

NPI Number : 1225960875
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PRISCILA GAETA RIVAS
Provider Business Mailing Address
First Line : 1131 COMMUNITY PKWY
Second Line :
City : HOLLISTER
State : CA
Zip : 95023-2816
Country : US
Telephone Number : 831-636-4020
Fax Number : 831-636-4025
Provider Business Practice Location Address
First Line : 1131 COMMUNITY PKWY
Second Line :
City : HOLLISTER
State : CA
Zip : 95023-2816
Country : US
Telephone Number : 831-636-4020
Fax Number : 831-636-4025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ MS. PRISCILA GAETA RIVAS ” Practice Location

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