Raul Rivera Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8351 Issued in AZ

Practice address

7600 N 15TH St Ste 100
Phoenix, AZ 85020-4330

Phone

(602) 704-2345

Fax

(602) 704-2399

NPI assigned

Jan 25, 2021

Last updated

Mar 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Univeristy of Texas Rio Grande Valley Med School, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Total Care LLCGroup PAC ID 6800128539, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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

• Arizona Total Care LLC

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1700433885
  Medicare reassignment Care Compare group
• U2Rworthit1 LLC

  • Primary Care Nurse Practitioner
  • Tucson, AZ
  • NPI 1265187900

  Multi-Specialty

  Medicare reassignment NPD (past)
• Mental Health Center of America, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1235700303
  Medicare reassignment
• Arizona Total Care LLC

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1255228433

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1326638172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N 1ST ST FL 7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042357",
            "telephone_number": "602-704-2345",
            "fax_number": "602-704-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 N 15TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204330",
            "telephone_number": "602-704-2345",
            "fax_number": "602-704-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "RAUL",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-25",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "8351",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Rivera
• Michelle Rae Rivera
• Nohemy Rivera
• Racheal Ann Rivera, RN
• Raquel Rivera, M.S., CCC-SLP
• Reyann Elizabeth Rivera, PT, DPT
• Robert Rivera, MD
• Saul Moroni Rivera, PA
• Tatiana Rivera
• Ulda Elizabeth Rivera, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.