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

Last updated

Jan 6, 2015By 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

Diego Rivera, M.D.NPI 1104984988

Title

Owner / President

Phone

(806) 747-4415

Specialties & licenses 1

Addresses

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
  Authorized official Same address or phone

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, APRN
• Sammy Dale Rivas, M.D.
• Alan Javier Rivera, CAA
• Diego Rivera, MDPA
• Jesse Leann Rivera, FNP
• Lachon Machelle Rivera
• Jonathan Rivero, PTA

• 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.