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1851488407

NPI Code Detail

MEDICARE: CARLOS ROBERTO RIVERA MD

MEDICARE: CARLOS ROBERTO RIVERA MD

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	207R00000X	Internal Medicine Physician	L9450	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8H9698	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851488407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS ROBERTO RIVERA MD

Provider Business Mailing Address
First Line	:	11900 VIEWCREST TER
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-1553
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	560 MEYERLAND PLAZA MALL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-1615
Country	:	US
Telephone Number	:	713-442-3222
Fax Number	:

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

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	05/28/2026

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Directions to “ CARLOS ROBERTO RIVERA MD” 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.

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