Victor Manuel Rivera, CRNA

Primary specialty

Pain Management Registered NurseTaxonomy code 163WP0000X

License

R055349 Issued in MD

Practice address

11511 Yates St
Silver Spring, MD 20902-2931

Phone

(301) 649-6346

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Victor Manuel Rivera-Diaz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Colonies Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Columbia, MD
  • NPI 1740218767
  NPD (past)
• Meridian Anesthesia Practice, L.L.C

  • Specialist
  • Olney, MD
  • NPI 1942248653
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295730166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 YATES ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022931",
            "telephone_number": "301-649-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 YATES ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022931",
            "telephone_number": "301-649-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "VICTOR",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "MD",
            "license": "R055349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTOR",
            "last_name": "RIVERA-DIAZ",
            "middle_name": "MANUEL",
            "prefix": "MR.",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ana Roxana Rivera de Martinez, MD
• Cinthya Rivera, MD,DC
• Helen Diane Rivera, RN
• Iraida Virginia Rivera, LPC
• Sandra Rivera
• Rivka Sidorsky, LLC
• Rachelle Rizkalla
• Husam Ali Rizvi, DDS
• Emily Lauren Rizzo
• Christine Ro

• Registered Nurse in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.