Marie Rivera Santos, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR011300 Issued in GA

Practice address

3755 Carmia Dr SW Ste 440
Atlanta, GA 30331-6253

Phone

(404) 476-5377

NPI assigned

Dec 18, 2024

Last updated

Dec 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1467269852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 ROSWELL RD APT T7",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421822",
            "telephone_number": "787-507-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 CARMIA DR SW STE 440",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303316253",
            "telephone_number": "404-476-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA SANTOS",
        "first_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Edge Behavioral Health Center
• River Edge Behavioral Health Center
• River Edge Behavioral Health Center (River Edge Boulevard Pharmacy)
• Elisamuel Rivera Gomez, M.S., CCC-SLP
• Maritza Amaly Rivera Montalvo, M.D.
• Daylene Rivera
• Jerry Rivera
• Mario Rivera, M.D
• Michael A Rivera, MS
• Natalie Isabella Rivera, PA STUDENT

• Chiropractor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.