WILFREDO RIVERA (NPI# 1285699090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285699090 |
| Entity Type | Individual |
| Full Name | WILFREDO RIVERA |
| Credential | MD |
| Practice Address |
5323 Harry Hines Blvd Dallas TX 75390-7208 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2146450624 |
| Practice Fax Number | 2146450078 |
| Mailing Telephone | 2146450624 |
| Mailing Fax Number | 2146450078 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2008-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
L2601 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0062NA | 01 |
| TX | 151005901 | 05 | |
| TX | 151005904 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073922407 | Wilfredo Lapus Rivera Jr. | Licensed Vocational Nurse | 300 Hilary Way Apt 175, Vallejo, CA 94591-8355 | 2014-08-11 |
| 1598943094 | Wilfredo Rivera | Family Medicine | Carr 149 Km 12.3, Ciales, PR 00638 | 2008-02-06 |
| 1699217612 | Wilfredo Rivera | Psychologist | 2233 N Commerce Pkwy Ste 3, Weston, FL 33326-3252 | 2016-11-08 |
| 1023170388 | Wilfredo Rivera | Internal Medicine | 2335 S Linden Rd, Flint, MI 48532-5497 | 2006-12-14 |
| Street Address |
5323 HARRY HINES BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384434 | Wayne Edward Vinton | Nurse Anesthetist, Certified Registered | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2005-05-24 |
| 1134726441 | Franco Hernandez | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-10-08 |
| 1902413313 | Suzanne Largent | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-09-29 |
| 1518574540 | Alexandra Abele | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390 | 2020-09-24 |
| 1427660133 | Salman Kazmi | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-24 |
| 1356951800 | Teja Sebastian | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-08 |
| 1891305454 | Usamah Chaudhary | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-08-07 |
| 1700496999 | Jada Martin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-08-03 |
| 1790395036 | Glaiza-mae Sande-docor | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-02 |
| 1326658675 | Allante Jemar Milsap | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776208 | Atj Community Services | Emergency Medicine | 3636 Creek View Cir, Dallas, TX 75233-1704 | 2020-09-28 |
| 1578968962 | Rick D Lamb | Emergency Medicine | 3824 Cedar Springs Rd # 801-3443, Dallas, TX 75219-4136 | 2014-10-27 |
| 1558689315 | Jakub Furmaga | Emergency Medicine | 5323 Harry Hines Blvd # Mc8579, Dallas, TX 75390-8579 | 2010-05-04 |
| 1881845485 | Johnny Negusse | Emergency Medicine | 2500 N Houston St, Apt 2806, Dallas, TX 75219-7655 | 2008-10-02 |
| 1215138656 | Oscar J. Martinez | Emergency Medicine | 4229 Cole Ave Apt 114, Dallas, TX 75205-4899 | 2007-05-31 |
| 1710188271 | Laura A. Craigmiles | Emergency Medicine | 8189 Walnut Hill Lane, Suite 007, Dallas, TX 75231 | 2007-05-30 |
| 1578164836 | Sarah Anderson | Emergency Medicine | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1073082012 | Medical Global Solutions | Emergency Medicine | 16324 Lauder Ln, Dallas, TX 75248-2349 | 2018-11-20 |
| 1538459896 | Mandy M Pascual | Emergency Medicine | 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75235-7708 | 2011-04-07 |
| 1861715591 | David Paul Lehrfeld | Emergency Medicine | 5323 Harry Hines Blvd., Dallas, TX 75390-7208 | 2010-03-09 |
| Find all providers in DALLAS | ||||
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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.