Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUIS RAFAEL RIVERA AGUASVIVAS, MD
DeactivatedLUIS RAFAEL RIVERA AGUASVIVAS, MD is a Colon & Rectal Surgery healthcare provider located in MONTGOMERY, Alabama. NPI 1972064103 is deactivated in the NPPES registry. Verify at CMS.
Colon & Rectal Surgery · MONTGOMERY, AL
This NPI has been deactivated.
The record was deactivated on November 4, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1972064103
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2019 (0.60109289617486 yrs)
- Last Updated
- Jun 10, 2025
- Deactivated
- Nov 4, 2019
- Licenses
-
TRN29803 (FL)49314 (AL)
Practice Information
- Address
-
2055 E SOUTH BLVD STE 601MONTGOMERY, AL, 361162014Browse AL providers · Browse ZIP 36116
- Phone
- 3347472999
- Primary Specialty
-
Colon & Rectal Surgery
208C00000X
- Additional Specialty
- Colon & Rectal Surgery
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.