Luis Raul Rivero, M.D., M.P.H.

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

12919 Issued in PR

Practice address

Weed Army Community Hospital
390 North Loop Road
Fort Irwin, CA 92310-1507

Phone

(760) 383-5004

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1053382895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105109",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923105109",
            "telephone_number": "760-383-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEED ARMY COMMUNITY HOSPITAL",
            "address_2": "390 NORTH LOOP ROAD",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923101507",
            "telephone_number": "760-383-5004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Hulse Rd",
            "address_2": "Naval Aerospace Medicine Institute",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325081089",
            "country_code": "US",
            "telephone_number": "850-452-9426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERO",
        "first_name": "LUIS",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-08-10",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12919",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "PR",
            "license": "12919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Lea Read, R.N.
• Samantha Reineck, RDN
• Valvincent Abanilla Reyes, BCD, LCSW
• Austin Leon Ridgway Jr., MD
• Jonathan Rivera, N5
• Ethel Lee Roberson, RN
• Roselva Mendoza Rosetelopez, RN
• Loretta Jean Rust, RN
• Mary Jee Jean Toledo Sabal, LPN
• Randall Marie Schaefer, RN

• Aerospace Medicine Physician in Fort Irwin, CA
• Providers in Fort Irwin, CA by specialty
• Aerospace Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.