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NPI Code Detail

MEDICARE: RICARDO RIVAS-PLATA

MEDICARE: RICARDO RIVAS-PLATA
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
1207R00000XInternal Medicine PhysicianG79354CA

General Provider Information

NPI Number : 1609961929
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICARDO RIVAS-PLATA
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 714-443-4512
Fax Number :
Provider Business Practice Location Address
First Line : 675 S ARROYO PKWY STE 200
Second Line :
City : PASADENA
State : CA
Zip : 91105-3215
Country : US
Telephone Number : 626-585-4120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 11/25/2025

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Directions to “ RICARDO RIVAS-PLATA ” Practice Location

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