Rivera, Emilio T.

Rivera, Emilio T. is an individual health care provider with primary practice located at 5290 Mcnutt Rd Ste 109, Santa Teresa NM 88008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Rivera, Emilio T. can be contacted via phone (575) 589-1144.

Contact Information

Primary practice address
5290 Mcnutt Rd Ste 109 Santa Teresa NM 88008
Phone: (575) 589-1144
Fax: (575) 589-2008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 89-285 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 89-285 New Mexico

Profile Details

NPI number 1366410276
LBN Legal business name Rivera, Emilio T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Apr 4th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366410276 NPPES
Other 050051043 RR MEDICARE
Other NM009D02 RR MEDICARE
Other NM011595 RR MEDICARE
MEDICAID 30858 RR MEDICARE

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