Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LUIS FERNANDO RIVERA JR., PTA
Active Sole ProprietorMR. LUIS FERNANDO RIVERA JR., PTA is a Contractor healthcare provider located in SPANAWAY, Washington. NPI 1740557313 is currently active in the NPPES registry. Verify at CMS.
Contractor · SPANAWAY, WA
Registration Details
- NPI Number
- 1740557313
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 25, 2011 (14.529239685448 yrs)
- Last Updated
- Nov 25, 2011
- License
-
P160103900 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21415 43RD AVENUE CT ESPANAWAY, WA, 983876841Browse WA providers · Browse ZIP 98387
- Phone
- 2533594195
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in SPANAWAY, WA
| Name | Credential | NPI |
|---|---|---|
| DAWN FRYE | LMP | 1477844330 |
| MRS. MARCELINA MACANDOG | — | 1518392984 |
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.