Active NPI
Ruben Rivera, OTR
- Occupational Therapist
- El Paso, TX
National Provider Identifier
1982616850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 111124
- Practice address
- 6028 Surety Dr
El Paso, TX 79905-2024 - Phone
- (915) 781-2901
- Fax
- (915) 772-1424
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 111124 | TX | Primary |
Addresses
Primary practice location
6028 Surety Dr
El Paso, TX 79905-2024
Mailing address
6028 Surety Dr
El Paso, TX 79905-2024
Phone (915) 781-2901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22018801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111124 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1982616850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6028 SURETY DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052024",
"telephone_number": "915-781-2901",
"fax_number": "915-772-1424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6028 SURETY DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052024",
"telephone_number": "915-781-2901",
"fax_number": "915-772-1424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "RUBEN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "111124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22018801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.