Carlos Anibal Rivera Marrero, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9951 Issued in AZ

Practice address

855 W Southern Ave Apt 2078
Mesa, AZ 85210-5053

Phone

(323) 580-4393

NPI assigned

Nov 24, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBFHAD/Endpoint/DBFHAD

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1235090655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W SOUTHERN AVE APT 2078",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105053",
            "telephone_number": "323-580-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W SOUTHERN AVE APT 2078",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105053",
            "telephone_number": "323-580-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA MARRERO",
        "first_name": "CARLOS",
        "middle_name": "ANIBAL",
        "name_prefix": "Dr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Beth Rivas, NP-C
• Telly E Rivenburgh, LCSW
• River Hospice LLC (River Hospice and Palliative Care)
• River of Life Behavioral Health Services, LLC
• River of Life in Home Care Az
• Brenda Ann Rivera, RN, FNP-BC
• David A Rivera, P.T., A.T.C.
• Hunter Rivera
• Leticia Jaquelyn Rivera
• Luis Manuel Rivera Jr., MS, LMT

• Physician Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.