Active NPI
Andres Alfonso Rivera II
- Athletic Trainer
- Fort Bliss, TX
National Provider Identifier
1659837227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT9261
- Practice address
- 20165 Kasserine Way
Fort Bliss, TX 79936 - Phone
- (760) 586-0398
- NPI assigned
- Feb 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT9261 | TX | Primary |
| Athletic Trainer | 2255A2300X | AT-2025-0013 | NM |
Addresses
Primary practice location
20165 Kasserine Way
Fort Bliss, TX 79936
Mailing address
10417 Silvercloud Dr
El Paso, TX 79924-2465
Phone (760) 586-0398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-2025-0013 | NM | MD | Athletic Trainer |
| AT9261 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1659837227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10417 SILVERCLOUD DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799242465",
"telephone_number": "760-586-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20165 KASSERINE WAY",
"city": "FORT BLISS",
"state": "TX",
"postal_code": "79936",
"telephone_number": "760-586-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ANDRES",
"middle_name": "ALFONSO",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-19",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT9261",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NM",
"license": "AT-2025-0013",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bliss, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.