Active NPI
Rivera Physician PLLC
- Interventional Cardiology Physician
- Phoenix, AZ
National Provider Identifier
1578007597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 44459
- Legal business name
- RIVERA PHYSICIAN PLLC
- Practice address
- 4345 E Aliso Cyn
Phoenix, AZ 85044-5582 - Phone
- (602) 281-5943
- NPI assigned
- Dec 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tomas Rivera Bonilla, MD
- Title
- Cardiologist
- Phone
- (602) 281-5943
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 44459 | AZ | Primary |
Addresses
Primary practice location
4345 E Aliso Cyn
Phoenix, AZ 85044-5582
Mailing address
4345 E Aliso Cyn
Phoenix, AZ 85044-5582
Phone (602) 281-5943
National Provider Directory
National Provider DirectoryLocations
5882 S Hospital Dr
Globe, AZ 85501
Phone (928) 793-3747
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Globe, AZ
- NPI 1447768130
-
- Interventional Cardiology Physician
- Globe, AZ
- NPI 1093781346
-
- Obstetrics & Gynecology Physician
- Globe, AZ
- NPI 1669421103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487635200000",
"number": "1578007597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4345 E ALISO CYN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850445582",
"telephone_number": "602-281-5943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4345 E ALISO CYN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850445582",
"telephone_number": "602-281-5943"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERA PHYSICIAN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-09",
"last_updated": "2017-02-21",
"status": "A",
"authorized_official_last_name": "RIVERA BONILLA",
"authorized_official_first_name": "TOMAS",
"authorized_official_title_or_position": "CARDIOLOGIST",
"authorized_official_telephone_number": "602-281-5943",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AZ",
"license": "44459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.