Organization Active NPI

Rivera Physician PLLC

  • Interventional Cardiology Physician
  • Phoenix, AZ
National Provider Identifier
1578007597
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
44459 Issued in AZ
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

Updated by the provider on Feb 21, 2017

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)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.