Richard Rivera MDPC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

RICHARD RIVERA MDPC

Practice address

127 Justice Center Rd Ste J
Canon City, CO 81212-9378

Phone

(719) 269-1136

Fax

(719) 269-1186

NPI assigned

Apr 14, 2021

Organization subpart

Yes

Parent organization

RICHARD RIVERA MDPCAs reported in NPPES

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

Authorized official

Name

Janet R Ortiz

Title

Manager

Phone

(719) 564-9400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Health Trac LLC Other name

Part of

Joseph J Wermer MD

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Richard Rivera MDPC

  • Health Service Clinic/Center
  • Pueblo, CO
  • NPI 1992973473
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Rivera, MD

  • Family Medicine Physician
  • Pueblo, CO
  • NPI 1710952577
  NPD (past)

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1679153480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 JUSTICE CENTER RD STE J",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129378",
            "telephone_number": "719-269-1136",
            "fax_number": "719-269-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 JUSTICE CENTER RD STE J",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129378",
            "telephone_number": "719-269-1136",
            "fax_number": "719-269-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD RIVERA MDPC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD RIVERA MDPC",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-564-9400"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61024821",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Trac LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sheila Repka, NP
• James Fred Reppert, M.D.
• Restorative Counseling Services LLC
• Nichole Brandy Ann Reynolds
• William Reynolds
• Erik Herbert Rieger, M.D.
• Jasmine Renee Riley
• Darvin Ritchie, MD
• Christina Riva
• River Valley Pediatrics, PC

• Urgent Care Clinic/Center in Canon City, CO
• Providers in Canon City, CO by specialty
• Urgent Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.