ANTONIO RIVERA (NPI# 1770053902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770053902 |
| Entity Type | Individual |
| Full Name | ANTONIO RIVERA |
| Credential | DC |
| Practice Address |
2625 Dillard Loop, Suite C Lake Charles LA 70607 |
| Practice Telephone | 3184532963 |
| Mailing Telephone | 3184532963 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1836 | LA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730455148 | Antonio Luis Rivera | Social Worker | 263 N 7th St, Prospect Park, NJ 07508-2030 | 2012-03-29 |
| 1336378074 | Antonio Alberto Rivera | Durable Medical Equipment & Medical Supplies | Ave. Minillas Carr 631 Km.2..3 Condominio Bayamonte, Bayamon, PR 00956 | 2009-07-02 |
| 1528209053 | Antonio Rivera | Specialist | Federico Montilla 1500, Cond Torres Del Parque 401 N, Bayamon, PR 00956 | 2009-03-12 |
| 1205075132 | Antonio F. Rivera | Dentist | Jose De Diego #53 Altos, Cidra, PR 00739 | 2009-02-17 |
| 1912198482 | Antonio Ramon Rivera | Dentist | 2428 W Illinois Ave, Dallas, TX 75233-1106 | 2007-08-08 |
| 1114033511 | Antonio Rivera | Physical Medicine & Rehabilitation | 840 Executive Ln Ste 120, Rockledge, FL 32955-3519 | 2006-08-21 |
| 1295785186 | Antonio Rivera | Family Medicine | 1 Indian Hill Road, Winterhaven, CA 92283 | 2006-05-11 |
| 1801360615 | Antonio A Rivera | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2019-01-15 |
| 1871090639 | Antonio Rivera | Counselor | 755 Worthington St, Springfield, MA 01105-1140 | 2018-04-09 |
| 1326247313 | Antonio Ernesto Rivera | Pharmacist | 113 Holland Ave, Albany, NY 12208-3410 | 2007-07-11 |
| Street Address |
2625 DILLARD LOOP, SUITE C |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689144818 | Life By Design Chiropractic LLC | Chiropractor | 2625 Dillard Loop, Suite C, Lake Charles, LA 70607 | 2018-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596283 | Dakota Loosemore | Student in an Organized Health Care Education/Training Program | 800 East Mcneese Street, Lake Charles, LA 70607 | 2020-07-30 |
| 1467003822 | Sarah Jane Walley | Specialist/Technologist | 800 E Mcneese Street, Lake Charles, LA 70607 | 2019-09-26 |
| 1851861330 | Shannon Marie Melvin | Specialist/Technologist | 800 East Mcneese, Lake Charles, LA 70607 | 2018-11-28 |
| 1326517699 | Vincent Michael Williams | Specialist/Technologist | 800 East Mcneese St, Lake Charles, LA 70607 | 2018-11-16 |
| 1396263356 | Lake Area Physician Services LLC | Durable Medical Equipment & Medical Supplies | 10071 Hwy 385, Lake Charles, LA 70607 | 2017-08-30 |
| 1023556370 | Heath Bryan Coleman, Dds of Louisiana II, A Professional Dental LLC | Dentist | 2625 Dillard Loop, Ste A, Lake Charles, LA 70607 | 2017-02-07 |
| 1750741880 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 635a Petro Point Dr, Lake Charles, LA 70607 | 2016-03-02 |
| 1194081414 | Clint Nickolas Lincoln | Family Medicine | 10071 Gulf Hwy, Lake Charles, LA 70607 | 2012-04-11 |
| 1295976652 | John Leroy Speer | Dentist | 3425 Louisiana Ave., Lake Charles, LA 70607 | 2009-03-16 |
| 1013048438 | Linda L Chevallier | Nurse Practitioner | 386 Hwy 384, Lake Charles, LA 70607 | 2007-03-08 |
| Find all providers in zip 70607 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1760997241 | Joseph A Livergood, Dc, LLC | Chiropractor | 640 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2017-12-06 |
| 1487039665 | Mayfield Chiropractic Lake Charles | Chiropractor | 3101 Lake St Ste 101, Lake Charles, LA 70601-8337 | 2015-07-29 |
| 1093116451 | Kaleb Deshotel | Chiropractor | 2626 Country Club Rd, Lake Charles, LA 70605-5912 | 2014-09-04 |
| 1891122594 | Ultimate Performance Chiropractic & Rehab, LLC | Chiropractor | 646 W. Mcneese Street, Lake Charles, LA 70605 | 2013-09-26 |
| 1871866756 | Kyle Anthony Daigle | Chiropractor | 313 Alamo Street, Suite B, Lake Charles, LA 70601-8528 | 2012-02-22 |
| 1972876845 | Jeremy Ross Ward | Chiropractor | 4211 Lake Street, Suite 20, Lake Charles, LA 70605 | 2012-02-22 |
| 1013299676 | Joseph A Livergood | Chiropractor | 730 Bayou Pines East Dr Ste A, Lake Charles, LA 70601-7494 | 2011-09-09 |
| 1649571936 | D A Hamer, D C (pc) | Chiropractor | 2903 Common St, Lake Charles, LA 70601-8534 | 2010-11-03 |
| 1730311085 | Bruce A. Maerhoferdcapc | Chiropractor | 4413 Lake St, Lake Charles, LA 70605-4311 | 2009-08-20 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70607 |
Please comment or provide details below to improve the information on ANTONIO RIVERA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.