Maizal Cuauhtemoc Benito Rivera, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95028400 Issued in CA

Practice address

740 S Alamo St
San Antonio, TX 78205-3437

Phone

(210) 222-0333

Fax

(210) 928-4837

NPI assigned

Aug 6, 2013

Last updated

Feb 14, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

University of Texas Medical School at San Antonio, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain Valleys Health CentersGroup PAC ID 4284685538, 33 clinicians

Kima-W Medical CenterGroup PAC ID 5496740698, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Valleys Health Centers

  dba Big Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Bieber, CA
  • NPI 1356438261
  Medicare reassignment Care Compare group NPD
• K'Ima:W Medical Center

  • Clinic/Center
  • Hoopa, CA
  • NPI 1306904222
  Medicare reassignment Care Compare group
• University of Texas Health Science Center at San Antonio

  dba UT Health Physicians

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1720051717
  Medicare reassignment NPD
• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turlock, CA
  • NPI 1356445753
  Medicare reassignment NPD
• The University of Texas Health Science Center at San Antonio

  dba UT Health San Antonio Multispecialty & Research Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1326829904
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Manteca, CA
  • NPI 1679013726
  NPD
• Golden Valley Health Centers

  dba GVHC Pharmacy

  • Community/Retail Pharmacy
  • Merced, CA
  • NPI 1093817405
  NPD
• Mayers Memorial Hospital District

  • Critical Access Hospital
  • Fall River Mills, CA
  • NPI 1912125667
  NPD
• Mountain Valleys Health Centers

  dba Weed Health Center

  • Federally Qualified Health Center (FQHC)
  • Weed, CA
  • NPI 1073018305
  NPD
• Mountain Valleys Health Centers

  dba Mount Shasta Alternative Health Center

  • Federally Qualified Health Center (FQHC)
  • Mount Shasta, CA
  • NPI 1588470025
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1487867503
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sky Lakes Medical Center Inc

  • Occupational Therapist
  • Klamath Falls, OR
  • NPI 1134270911

  Hospital

  Care Compare affiliation
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Care Compare affiliation

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1841622305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 BAYONNE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782282526",
            "telephone_number": "210-861-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S ALAMO ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782053437",
            "telephone_number": "210-222-0333",
            "fax_number": "210-928-4837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "498 Main St",
            "address_purpose": "LOCATION",
            "city": "Tulelake",
            "state": "CA",
            "postal_code": "961349411",
            "country_code": "US",
            "telephone_number": "530-999-9060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MAIZAL",
        "middle_name": "CUAUHTEMOC BENITO",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028400",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "713678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugo A Rivera, DDS
• Jennifer Rivera
• Jennifer Rivera
• Jerry James Rivera, PT
• Justin Guy Rivera, PHYSICIAN ASSISTANT
• Maria Pilar Rivera, MS, LPC
• Maritza Rivera
• Marlene Rivera, LMSW
• Matthew Rivera
• Meaghan Paez Rivera, BCBA, LBA

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.