MEDICARE: OLIVIA RIVERA-GUTIERREZ

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	390200000X	Student in an Organized Health Care Education/Training Program
2	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1992340897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA RIVERA-GUTIERREZ

Provider Business Mailing Address
First Line	:	1209 W CARLA VISTA DR
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-4350
Country	:	US
Telephone Number	:	480-433-0409
Fax Number	:

Provider Business Practice Location Address
First Line	:	1209 W CARLA VISTA DR
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-4350
Country	:	US
Telephone Number	:	480-433-0409
Fax Number	:

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

Provider Enumeration Date	:	11/14/2019
Last Update Date	:	05/05/2021

Similar Medicare Providers

1912860859 — VEENA SANGRAM REDKAR
Practice Location Address:

1600 W CHANDLER BLVD STE 180
CHANDLER, AZ
85224-6164

Practice Phone: 855-223-7123
Practice Fax: 855-223-7123

1912860784 — KIARA BLUMEARS BURGMEIER
Practice Location Address:

1600 W CHANDLER BLVD STE 180
CHANDLER, AZ
85224-6164

Practice Phone: 855-223-7123
Practice Fax: 619-374-7134

1053274795 — EMMA MARTINIE LAC
Practice Location Address:

2875 W RAY RD STE 6-138
CHANDLER, AZ
85224-3524

Practice Phone: 913-481-6916
Practice Fax:

1376302588 — KATHIA YARI JUSINO SUAREZ PA
Practice Location Address:

2201 W FAIRVIEW ST STE 9
CHANDLER, AZ
85224-4704

Practice Phone: 480-470-4000
Practice Fax:

1669438552 — PREM S PILLAY MD
Practice Location Address:

1960 W FRYE RD STE 5
CHANDLER, AZ
85224-6238

Practice Phone: 480-917-5900
Practice Fax: 520-836-6663

1093678971 — SYNOVA HEALTH
Practice Location Address:

1835 W CHANDLER BLVD STE 202
CHANDLER, AZ
85224-5287

Practice Phone: 480-681-3667
Practice Fax: 480-658-2964

Directions to “ OLIVIA RIVERA-GUTIERREZ ” 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.