Diego Rivera, M.D., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G1757 Issued in TX

Legal business name

DIEGO RIVERA, M.D., P.A.

Doing business as

University Clinic

Practice address

111 University Ave
Lubbock, TX 79415

Phone

(806) 747-4415

Fax

(806) 747-1304

NPI assigned

Dec 26, 2007

Last updated

May 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Diego Rivera, M.D.NPI 1104984988

Title

Owner

Phone

(806) 747-4415

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• University Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Diego Rivera, MDPA

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1104984988
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1851575906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 UNIVERSITY AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79415",
            "telephone_number": "806-747-4415",
            "fax_number": "806-747-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 UNIVERSITY AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79415",
            "telephone_number": "806-747-4415",
            "fax_number": "806-747-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEGO RIVERA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-747-4415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G1757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010066279",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158775001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Dick, SLP
• Ashley Dickerson, LMFT-A
• Cody William Dickson, PHD, LPC, NCC
• Liberty Dictson
• Cassidy Diede, AA
• Dihenia MHT LLC
• Bhupesh Hasmukh Dihenia, M.D.
• Dilip K. Pal, M.D., P.a.
• Haylee Dill
• Karen Marie Dill, FNP-C

• Family Medicine Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.