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NPI Code Detail

MEDICARE: MARIA TERESA RIVERA MS, RDN

MEDICARE: MARIA TERESA RIVERA MS, RDN
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
1133V00000XRegistered DietitianDT81677TX

General Provider Information

NPI Number : 1649507435
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA TERESA RIVERA MS, RDN
Provider Business Mailing Address
First Line : 5817 SHORT SPRINGS CT
Second Line :
City : THE COLONY
State : TX
Zip : 75056-6452
Country : US
Telephone Number : 210-797-6295
Fax Number :
Provider Business Practice Location Address
First Line : 16980 DALLAS PKWY STE 204
Second Line :
City : DALLAS
State : TX
Zip : 75248-1910
Country : US
Telephone Number : 210-797-6295
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2009
Last Update Date : 01/17/2023

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