Pepito C & Minerva C Rivera PTR

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PEPITO C & MINERVA C RIVERA PTR

Practice address

308 N Main St
Brookfield, MO 64628-1601

Phone

(660) 258-3324

Fax

(660) 258-3325

NPI assigned

Sep 23, 2010

Organization subpart

No

Name

Dr. Pepito C Rivera, MD

Title

Gen PTR

Phone

(660) 258-3324

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Minerva C Concepcion-Rivera, MD

  • Internal Medicine Physician
  • Brookfield, MO
  • NPI 1447257373
  NPD (past)

Locations

• Rivera & Concepcion Med Assoc PTSHP Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2010.

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1114235173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N MAIN ST",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646281601",
            "telephone_number": "660-258-3324",
            "fax_number": "660-258-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N MAIN ST",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646281601",
            "telephone_number": "660-258-3324",
            "fax_number": "660-258-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPITO C & MINERVA C RIVERA PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "PEPITO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "GEN PTR",
        "authorized_official_telephone_number": "660-258-3324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivera & Concepcion Med Assoc PTSHP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Martin
• McLarney Healthcare LLC
• Kimmy Ann Minkler, M.P.T.
• Chelsey Lynn Monnig
• Irene Newman Parsonson, FNP
• Thomas Ervin Pitts, DDS
• Preferred Family Healthcare
• Megan Eileen Rodgers Tschannen, PMHNP
• Amber Denae Singer, NP-C
• Sloan Eyecare Center L.L.C

• All providers in Brookfield, MO
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.