NPIMap

Organization Active NPI

Domicilliary Service LLC

  • Legal Medicine
  • Dallas, TX
National Provider Identifier
1710172093
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
DOMICILLIARY SERVICE LLC
Practice address
1513 Viceroy Dr
Dallas, TX 75235-2303
Phone
(469) 685-7020
Fax
(214) 920-8446
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Manuel S Rivero, M.D.
Title
President
Phone
(469) 595-9475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X TX Primary

Addresses

Primary practice location

1513 Viceroy Dr
Dallas, TX 75235-2303

Mailing address

1513 Viceroy Dr
Dallas, TX 75235-2303
Phone (469) 685-7020

Other identifiers 1

IdentifierTypeStateIssuer
DO1083OtherRAILROAD MEDICARE PTAN

Other names 1

  • DR. RIVERO AND ASSOCIATES II Doing business as

National Provider Directory

National Provider Directory

Locations

1513 Viceroy Dr
Dallas, TX 75235
Phone (214) 306-5314

1341 W Mockingbird Ln
Ste 940W
Dallas, TX 75247
Phone (214) 306-5314

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710172093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 VICEROY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752352303",
            "telephone_number": "469-685-7020",
            "fax_number": "214-920-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 VICEROY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752352303",
            "telephone_number": "469-685-7020",
            "fax_number": "214-920-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMICILLIARY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2022-07-21",
        "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": "469-595-9475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DO1083",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. RIVERO AND ASSOCIATES II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.