William Resto-Rivera, MD

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

4301084915 Issued in MI

Practice address

J Street BLDG 3000
Federal Medical Center Carswell
Fort Worth, TX 76127-0066

Phone

(817) 782-4606

Fax

(817) 782-4627

NPI assigned

Feb 22, 2011

Last updated

Feb 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1194022566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27066",
            "address_2": "FEDERAL MEDICAL CENTER CARSWELL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761270066",
            "telephone_number": "817-782-4606",
            "fax_number": "817-782-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J STREET BLDG 3000",
            "address_2": "FEDERAL MEDICAL CENTER CARSWELL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761270066",
            "telephone_number": "817-782-4606",
            "fax_number": "817-782-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTO-RIVERA",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "MI",
            "license": "4301084915",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "PR",
            "license": "9502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.