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NPI Code Detail

MEDICARE: MR. CARLOS J RIVERA M.D.

MEDICARE: MR. CARLOS J RIVERA M.D.
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
12084N0402XNeurology with Special Qualifications in Child Neurology PhysicianH9261TX
2208000000XPediatrics PhysicianH9261TX

General Provider Information

NPI Number : 1871534511
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CARLOS J RIVERA M.D.
Provider Business Mailing Address
First Line : 2 E GREENWAY PLZ
Second Line : SUITE 900
City : HOUSTON
State : TX
Zip : 77046-0297
Country : US
Telephone Number : 713-798-1835
Fax Number : 713-798-1144
Provider Business Practice Location Address
First Line : 6701 FANNIN ST STE 1250
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2612
Country : US
Telephone Number : 832-822-1750
Fax Number : 832-825-1717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 05/22/2024

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