Active NPI
Alexander Rivera Rodriguez
- Emergency Registered Nurse
- Sells, AZ
National Provider Identifier
1205522406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 9526581
- Practice address
- Hwy 86 Topawa Road
Sells, AZ 85634 - Phone
- (520) 383-7200
- NPI assigned
- Apr 12, 2023
- Last updated
- Apr 12, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 9526581 | FL | Primary |
Addresses
Primary practice location
Hwy 86 Topawa Road
Sells, AZ 85634
Mailing address
5825 Faircrest CV Apt 934
Fort Worth, TX 76137-6825
Phone (520) 482-7290
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9526581 | FL | MD | Emergency Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1205522406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5825 FAIRCREST CV APT 934",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761376825",
"telephone_number": "520-482-7290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 86 TOPAWA ROAD",
"city": "SELLS",
"state": "AZ",
"postal_code": "85634",
"telephone_number": "520-383-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA RODRIGUEZ",
"first_name": "ALEXANDER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-12",
"last_updated": "2023-04-12",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "FL",
"license": "9526581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sells, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.