Active NPI
Karelys Diaz Rivera, M.D.
- Pediatrics Physician
- Edinburg, TX
National Provider Identifier
1154510774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M8956
- Practice address
- 2821 Michealangelo
Ste 102
Edinburg, TX 78539-1411 - Phone
- (956) 686-6100
- NPI assigned
- Oct 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M8956 | TX | Primary |
Addresses
Primary practice location
2821 Michealangelo
Ste 102
Edinburg, TX 78539-1411
Mailing address
2821 Michealangelo
Ste 102
Edinburg, TX 78539-1411
Phone (956) 686-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2928665 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8956 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1154510774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 MICHEALANGELO",
"address_2": "STE 102",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785391411",
"telephone_number": "956-686-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 MICHEALANGELO",
"address_2": "STE 102",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785391411",
"telephone_number": "956-686-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "KARELYS",
"middle_name": "DIAZ",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-19",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M8956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2928665",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.