Four Corners Muscle and Nerve Center PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FOUR CORNERS MUSCLE AND NERVE CENTER PC

Practice address

2500 Farmington Ave
Farmington, NM 87401-4504

Phone

(505) 326-7246

Fax

(505) 592-0063

NPI assigned

Nov 30, 2009

Last updated

Aug 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Camille Rivera, M.D.NPI 1750342887

Title

Owner/Director

Phone

(505) 326-7246

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Camille Rivera, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Farmington, NM
  • NPI 1750342887
  Authorized official Same address or phone

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1285962357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014504",
            "telephone_number": "505-326-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014504",
            "telephone_number": "505-326-7246",
            "fax_number": "505-592-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS MUSCLE AND NERVE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "505-326-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Four Corners Family Dental LLC
• Four Corners Foot and Ankle P.C.
• Four Corners Gastroenterology Consultants PC
• Four Corners Heart and Lung Institute PC
• Four Corners Medical LLC
• Four Corners Nephrology Associates PC
• Four Corners Oriental Medicine and Acupuncture, LLC
• Four Corners Orthodontics Centers Inc
• Four Corners Pain Management LLC (Four Corners Spine and Pain)
• Four Corners Physical Therapy Limited Partnership

• Specialist in Farmington, NM
• Providers in Farmington, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.