Rivera MHT LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G1757 Issued in TX

Legal business name

RIVERA MHT LLC

Practice address

111 N University Ave
Lubbock, TX 79415-2844

Phone

(806) 747-4415

NPI assigned

Dec 29, 2014

Organization subpart

No

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

Authorized official

Name

Diego Rivera, M.D.

Title

Owner / President

Phone

(806) 747-4415

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1972991990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HERITAGE DR STE 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N UNIVERSITY AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794152844",
            "telephone_number": "806-747-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERA MHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "806-747-4415",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G1757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Katherine Rivas, MSN, RN, FNP-BC
• Elizabeth Rae Rivas, M.D.
• Justin Rivas
• Justin B Rivas
• Sammy Dale Rivas, M.D.
• Alan Javier Rivera, CAA
• Diego Rivera, MDPA
• Jesse Leann Rivera, FNP
• Jonathan Rivero, PTA
• Jordan Kay Rivero, BCBA

• 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 Jan 6, 2015; 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.