NPIMap

Organization Active NPI

Reynaldo Rivera

  • Surgical Assistant
  • Katy, TX
National Provider Identifier
1477891414
Registry record updated Jan 25, 2013
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Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
12-146 Issued in FL
Legal business name
REYNALDO RIVERA
Practice address
25207 Bright Hollow LN
Katy, TX 77494-2991
Phone
(786) 219-9622
NPI assigned
Jan 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Prof. Reynaldo Rivera Neyra
Title
Surgical Assistant
Phone
(786) 219-9622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X 12-146 FL Primary

Addresses

Primary practice location

25207 Bright Hollow LN
Katy, TX 77494-2991

Mailing address

25207 Bright Hollow LN
Katy, TX 77494-2991
Phone (786) 219-9622

Other identifiers 1

IdentifierTypeStateIssuer
12-146OtherFL246ZC0007X

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1477891414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25207 BRIGHT HOLLOW LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942991",
            "telephone_number": "786-219-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25207 BRIGHT HOLLOW LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942991",
            "telephone_number": "786-219-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNALDO RIVERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "RIVERA NEYRA",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "786-219-9622",
        "authorized_official_name_prefix": "Prof."
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "12-146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "246ZC0007X",
            "identifier": "12-146",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.