Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD ALLEN RIVERA, PA-C
ActiveRICHARD ALLEN RIVERA, PA-C is a Physician Assistant healthcare provider located in CREEDE, Colorado. NPI 1275576738 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CREEDE, CO
Registration Details
- NPI Number
- 1275576738
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2006 (20.169847357664 yrs)
- Last Updated
- Dec 7, 2022
- Licenses
-
636 (CO)PA04083 (TX)
Practice Information
- Address
-
802 RIO GRANDE LNCREEDE, CO, 811309554Browse CO providers · Browse ZIP 81130
- Phone
- 7196580929
- Fax
- 7196583001
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.