SANTOS MICHAEL RIVERA


Address: 3463 Magic Dr Ste T21, San Antonio, TX 78229
Phone: 2106148101

SANTOS MICHAEL RIVERA (NPI# 1154335792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154335792
Entity Type Individual
Full Name SANTOS MICHAEL RIVERA
Credential PA-C
Practice Address 3463 Magic Dr Ste T21
San Antonio
TX 78229
Mailing Address 3463 Magic Dr Ste T21
San Antonio
TX 78229-3621
Practice Telephone 2106148101
Practice Fax Number 2106148102
Mailing Telephone 2106148101
Mailing Fax Number 2106148102
Enumeration Date 2006-07-28
Last Update Date 2019-08-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA01255 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS OF TEXAS 88N947 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
600 Westwood Dr, Sherman, TX 750925667 9038706605

Other Providers SANTOS RIVERA

NPI Name Taxonomy Address Enumeration
1740652056 Santos Rivera IIi Physical Therapy Assistant 1128 E Derenne Ave, Savannah, GA 31406 2015-10-26
1295041853 Santos Michael Rivera II Pharmacist 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 2010-08-20
1205056751 Santos . Rivera Jr. Social Worker 1048 49th St, Brooklyn, NY 11219-2917 2007-04-26

Office Location

Street Address 3463 MAGIC DR STE T21
City SAN ANTONIO
State TX
Zip Code 78229

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629611231 Hallie Ann Bell Specialist/Technologist, Other 3463 Magic Dr Ste T21, San Antonio, TX 78229-3621 2019-10-26
1750924874 Amelia S Sanchez Technician/Technologist 3463 Magic Dr Ste T21, San Antonio, TX 78229-3621 2019-10-21
1013472802 Betsy Tanner Nurse Practitioner 3463 Magic Dr Ste T21, San Antonio, TX 78229-3621 2019-02-05
1104309533 Marie Antoinette Benavidez Perfusionist 3463 Magic Dr Ste T21, San Antonio, TX 78229-3621 2018-09-11
1952808644 Roberta Schultz Tremper Registered Nurse 3463 Magic Dr Ste T21, San Antonio, TX 78229-3621 2018-04-09
1861992117 Sp United, LLC Physician Assistant 3463 Magic Dr Ste T21, San Antonio, TX 78229-3621 2018-02-13
1659885705 Eileen Carrillo Surgery 3463 Magic Dr Ste T21, San Antonio, TX 78229-3621 2017-11-28
1932610557 Jackline Realynn Sanchez Surgery 3463 Magic Dr Ste T21, San Antonio, TX 78229-3621 2017-10-23
1548770977 Fermin Elizalde Dominguez IIi Registered Nurse 3463 Magic Dr Ste T21, San Antonio, TX 78229-3621 2017-10-12
1700177722 Joe Roger Reyes Specialist 3463 Magic Dr Ste T21, San Antonio, TX 78229-3621 2011-04-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245857226 Lyndsey A Sandoval Optometrist 7400 Minton Miner St, San Antonio, TX 78229 2020-06-25
1295355311 Nicolet Finger Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 2020-04-18
1215557400 Amy Elizabeth Werry Clinical Neuropsychologist 7703 Floyd Circle Drive, San Antonio, TX 78229 2020-04-17
1740822972 Mohammad Safaie Yazdi Student in an Organized Health Care Education/Training Program Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 2019-10-09
1063053072 Blas Edward Villa Nurse Practitioner 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 2019-10-01
1124673942 Integrity Dme Services LLC Durable Medical Equipment & Medical Supplies 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 2019-08-08
1730734120 Marisa Erin Leyden Speech-Language Pathologist Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 2019-08-03
1285295741 Alireza Ghezavati Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 2019-06-25
1407410285 Denae Cheyenne Rushing Student in an Organized Health Care Education/Training Program 8201 Floyd Curl Drive, San Antonio, TX 78229 2019-04-26
1265993570 Shehzad Amlani Student in an Organized Health Care Education/Training Program Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 2019-03-28
Find all providers in zip 78229

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588284194 Hill Country Surgical Management, Inc Physician Assistant 10454 Tippecanoe, San Antonio, TX 78245-3128 2020-04-23
1700435831 Christina A Vogel-rosbrook Physician Assistant 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 2019-09-11
1538631676 Olga Skirda Physician Assistant 610 North Main Avenue, San Antonio, TX 78205 2018-12-31
1265921126 Ashley L Garcia Physician Assistant 414 W Sunset Rd Ste 205, San Antonio, TX 78209 2018-05-07
1265989958 Liz Ramirez-valencia Physician Assistant 12118 Ridge Court St, San Antonio, TX 78247-3402 2016-09-09
1831645399 Carlos E Martin Colindres Physician Assistant 18211 Bulverde Rd Apt 13207, San Antonio, TX 78259-3720 2016-08-25
1093188559 Padeniran Corp, Pllc Physician Assistant 2313 Lockhill Selma Rd # 158, San Antonio, TX 78230-3007 2015-11-05
1679944631 Elite Surgical Associates of Sa Physician Assistant 20079 Stone Oak Pkwy Ste 1105-482, San Antonio, TX 78258-6942 2015-10-15
1679958680 Lacey Lillian Aguero Physician Assistant 6407 Cougar Vlg, San Antonio, TX 78242 2015-07-21
1447635453 Neuro Precision Assisting, Pllc Physician Assistant 5886 De Zavala Rd, Ste 102 #495, San Antonio, TX 78249-2269 2015-07-21
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78229

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Dataset Information

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.

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