Organization Active NPI

Rivero Associates PA

  • Specialist
  • Kaufman, TX
National Provider Identifier
1629085329
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RIVERO ASSOCIATES PA
Practice address
874 W Highway 243
Suite 102 & 103
Kaufman, TX 75142-1800
Phone
(972) 932-4345
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Authorized official

Name
Manuel S Rivero, M.D.
Title
President
Phone
(972) 932-4345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X TX Primary

Addresses

Primary practice location

874 W Highway 243
Suite 102 & 103
Kaufman, TX 75142-1800

Mailing address

874 W Highway 243
Suite 102 & 103
Kaufman, TX 75142-1800
Phone (972) 932-4345

Other identifiers 3

IdentifierTypeStateIssuer
122857902MedicaidTX
122857904MedicaidTX
CT0116OtherTXRR MEDICARE

National Provider Directory

National Provider Directory

Locations

874 Ed Hall Dr
#102103
Kaufman, TX 75142
Phone (972) 932-4345

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": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1629085329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 W HIGHWAY 243",
            "address_2": "SUITE 102 & 103",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751421800",
            "telephone_number": "972-932-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 W HIGHWAY 243",
            "address_2": "SUITE 102 & 103",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751421800",
            "telephone_number": "972-932-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERO ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "RIVERO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-932-4345",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122857902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122857904",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CT0116",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaufman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.