Rodulfo Lee Rivera, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

E6894 Issued in TX

Practice address

663 Justin Rd
Rockwall, TX 75087-4821

Phone

(972) 772-0007

Fax

(214) 771-0780

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770637761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8032 CAVALIER DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247261",
            "telephone_number": "214-535-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 JUSTIN RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874821",
            "telephone_number": "972-772-0007",
            "fax_number": "214-771-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "RODULFO",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "E6894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Riley
• Rachel Rios
• David W Ritter, M.D.
• Jenice Rivera
• Noemi Rivera
• Robert Alan Woodward MD PA
• Robert Cloud MD PA (Northeast Texas Colorectal)
• Robert F Mehl III PHD & Assoc LLC (The Lakewood Group)
• Jill Roberts, PT
• Patrick D Roberts, B.A., H.I.S.

• General Practice Physician in Rockwall, TX
• Providers in Rockwall, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.