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NPI Code Detail

MEDICARE: MARIA ELMA RIVERA CNM, FNP

MEDICARE: MARIA ELMA RIVERA CNM, FNP
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
1367A00000XAdvanced Practice MidwifeAP110357TX
2363LF0000XFamily Nurse PractitionerAP110357TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558582171
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ELMA RIVERA CNM, FNP
Provider Business Mailing Address
First Line : 308 S CESAR CHAVEZ AVE
Second Line :
City : CRYSTAL CITY
State : TX
Zip : 78839-4200
Country : US
Telephone Number : 830-374-2301
Fax Number : 830-374-9368
Provider Business Practice Location Address
First Line : 308 S CESAR CHAVEZ AVE
Second Line :
City : CRYSTAL CITY
State : TX
Zip : 78839-4200
Country : US
Telephone Number : 830-374-2301
Fax Number : 830-374-9368
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 02/27/2024

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