NPIMap

Organization Active NPI

Agave Family Health, PLLC

  • Family Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1073719043
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4457 Issued in AZ
Legal business name
AGAVE FAMILY HEALTH, PLLC
Practice address
3420 S Mercy Rd
113
Gilbert, AZ 85297-0419
Phone
(480) 219-3346
Fax
(480) 219-3652
NPI assigned
Jun 26, 2007
Last updated
Oct 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Dr. Molly Finley Riviezzo, DO
Title
Owner
Phone
(480) 219-3346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4457 AZ Primary

Addresses

Primary practice location

3420 S Mercy Rd
113
Gilbert, AZ 85297-0419

Mailing address

3420 S Mercy Rd
113
Gilbert, AZ 85297-0419
Phone (480) 219-3346

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1073719043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 S MERCY RD",
            "address_2": "113",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970419",
            "telephone_number": "480-219-3346",
            "fax_number": "480-219-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 S MERCY RD",
            "address_2": "113",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970419",
            "telephone_number": "480-219-3346",
            "fax_number": "480-219-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAVE FAMILY HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "RIVIEZZO",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "FINLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-219-3346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.