DR. RODULFO LEE RIVERA (NPI# 1770637761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770637761 |
| Entity Type | Individual |
| Full Name | DR. RODULFO LEE RIVERA |
| Credential | M.D. |
| Practice Address |
663 Justin Rd Rockwall TX 75087-4821 |
| Mailing Address |
8032 Cavalier Dr Plano TX 75024-7261 |
| Practice Telephone | 9727720007 |
| Practice Fax Number | 2147710780 |
| Mailing Telephone | 2145357787 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | E6894 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
663 JUSTIN RD |
| City | ROCKWALL |
| State | TX |
| Zip Code | 75087-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452309 | Schweers Dental Pllc | Clinic/Center | 3005 N Goliad St., Suite 110, Rockwall, TX 75087 | 2020-03-19 |
| 1467091611 | Elsa Varughese | Nurse Practitioner | 414 Garrett Dr, Rockwall, TX 75087 | 2020-01-04 |
| 1578105391 | Jaya Raji Mathai | Psychiatry & Neurology | 2249 Ridge Rd., Rockwall, TX 75087 | 2019-10-14 |
| 1104326784 | Eunice B Ontita | Nurse Practitioner | 601 White Hills Dr., Suite 100, Rockwall, TX 75087 | 2018-02-20 |
| 1053811885 | Emelda Fehnyui Ndinjiakat | Licensed Vocational Nurse | 610 Louder Way, Fate, TEXAS 75087 | 2018-02-19 |
| 1588163885 | January Lauren Green | Nurse Practitioner | 6800 Heritage Parkway, Suite 201, Rockwall, TX 75087 | 2018-02-02 |
| 1093268328 | Anouk Family Chiropractic, Pllc | Chiropractor | 2555 Ridge Rd #150, Rockwall, TX 75087 | 2016-08-03 |
| 1962858134 | Katherine L. Crane | Counselor | 302 W. Kaufman St., Rockwall, TX 75087 | 2016-05-06 |
| 1669841102 | Richard Carroll Smith | Obstetrics & Gynecology | 2120 Clubview, Rockwall, TX 75087 | 2015-09-15 |
| 1033598032 | Michelle Knight | Massage Therapist | 767 Justin Rd, Rockwall, TX 75087 | 2015-05-22 |
| Find all providers in zip 75087 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568773638 | Robert Alan Woodward Md Pa | General Practice | 304 Emma Jane St, Rockwall, TX 75087-4314 | 2010-06-23 |
| 1891946786 | Dr Carlos Reyes-pescador | General Practice | 1000 English Rd, Blue Bonnet Estates, Rockwall, TX 75032-8288 | 2008-10-09 |
| 1144798208 | Concord Surgical Care, LLC | General Practice | 2504 Ridge Rd Ste 100, Rockwall, TX 75087-2570 | 2018-11-07 |
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| 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.