Rivercity Rehabilitation Center, Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

0000033 Issued in TX

Legal business name

RIVERCITY REHABILITATION CENTER, INC.

Practice address

680 Stonewall St
San Antonio, TX 78214-1908

Phone

(210) 924-7547

Fax

(210) 924-0527

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Raymond CarvajalNPI 1114237526

Title

President

Phone

(210) 977-1805

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Carvajal, R.PH.

  • Pharmacist
  • San Antonio, TX
  • NPI 1114237526
  NPD Authorized official
• Cesar Garcia, M.D.

  • Addiction Psychiatry Physician
  • San Antonio, TX
  • NPI 1265690077
  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1437317245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 STONEWALL ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141908",
            "telephone_number": "210-924-7547",
            "fax_number": "210-924-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 STONEWALL ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141908",
            "telephone_number": "210-924-7547",
            "fax_number": "210-924-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCITY REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "CARVAJAL",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-977-1805"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "TX",
            "license": "0000033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Ann Rivera
• Yanira Rivera
• Yarilee Rivera
• Yazmine Rivera
• Rivercity Cardiovascular of San Antonio PLLC
• Rivercity Womens Health
• Jesus Ricardo Rivero Jr., M.D.
• Paloma Rivero, MD
• Oscar Ivan Riveron, PA
• Alison Rivers Peterson, CRNA

• Methadone Clinic in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Methadone Clinic in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.