Rivera, Mayra Ivette

Rivera, Mayra Ivette is an individual health care provider with primary practice located at 375 Wampanoag Trl , Riverside RI 02915-2232. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rivera, Mayra Ivette can be contacted via phone (401) 649-4090.

Contact Information

Primary practice address
375 Wampanoag Trl Riverside RI 02915-2232
Phone: (401) 649-4090
Fax: (401) 649-4091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN02802 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN02802 Rhode Island

Profile Details

NPI number 1427714096
LBN Legal business name Rivera, Mayra Ivette
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2021
Last updated Mar 5th, 2026 - about 8 months 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 1427714096 NPPES
Rhode Island MEDICAID 1427714096

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