MEDICARE: MARLIE RIVERA CANTILLO

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	163WH1000X	Hospice Registered Nurse	1076095	TX
2	363LF0000X	Family Nurse Practitioner	1076095	TX

General Provider Information

NPI Number	:	1598589996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLIE RIVERA CANTILLO

Provider Business Mailing Address
First Line	:	3926 LA CONTENTA LN
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-2937
Country	:	US
Telephone Number	:	585-645-8749
Fax Number	:

Provider Business Practice Location Address
First Line	:	3926 LA CONTENTA LN
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-2937
Country	:	US
Telephone Number	:	585-645-8749
Fax Number	:

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

Provider Enumeration Date	:	11/12/2024
Last Update Date	:	02/24/2025

Similar Medicare Providers

1083932842 — DR. JAMES ROBERT BARBER III M.D.
Practice Location Address:

3401 SPRINGHILL DR STE 390
NORTH LITTLE ROCK, AR
72117-2937

Practice Phone: 501-835-9444
Practice Fax: 501-835-9731

1013303700 — DR. KEVIN ANTHONY BARBER M.D.
Practice Location Address:

3401 SPRINGHILL DR STE 390
NORTH LITTLE ROCK, AR
72117-2937

Practice Phone: 501-835-9444
Practice Fax:

1396217634 — JESSICA MORROW APRN
Practice Location Address:

3401 SPRINGHILL DR STE 390
NORTH LITTLE ROCK, AR
72117-2937

Practice Phone: 501-835-9444
Practice Fax: 501-907-1548

1962288795 — KAREN J DUNN MSW, LSW
Practice Location Address:

2937 ROCK HILL LN
TOMS RIVER, NJ
08755-2576

Practice Phone: 732-859-6076
Practice Fax:

1528309739 — ANGELA MICHELLE PENA APRN, FNP-BC
Practice Location Address:

501 UNIVERSITY BLVD
ROUND ROCK, TX
78665-1048

Practice Phone: 866-389-2727
Practice Fax: 512-310-8408

1497482897 — KIRA ANLYN THURSTON
Practice Location Address:

2200 N A W GRIMES BLVD STE 600
ROUND ROCK, TX
78665-2745

Practice Phone: 512-655-3104
Practice Fax: 833-955-3628

Directions to “ MARLIE RIVERA CANTILLO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.