ENRIQUE J RIVAS (NPI# 1902834534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902834534 |
| Entity Type | Individual |
| Full Name | ENRIQUE J RIVAS |
| Credential | MD |
| Practice Address |
121 Medical Center Dr Suite 3100 Brunswick ME 04011-2653 |
| Practice Telephone | 2077297939 |
| Practice Fax Number | 2077254717 |
| Mailing Telephone | 2077297939 |
| Mailing Fax Number | 2077254717 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2016-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD14447 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 237920099 | 05 | |
| ANTHEM | 037272 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437708187 | Enrique Rivas | Specialist | 3036 E Tremont Ave, Bronx, NY 10461-5733 | 2019-09-05 |
| Street Address |
121 MEDICAL CENTER DR SUITE 3100 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465599 | Nathaniel Hyde | Surgery | 121 Medical Center Dr, Ste 2550, Brunswick, ME 04011-2681 | 2005-05-23 |
| 1326410333 | Ruth E Macy | Physical Therapist | 121 Medical Center Dr, Brunswick, ME 04011-2653 | 2015-10-29 |
| 1447650676 | Maud Van De Wiele | Advanced Practice Midwife | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2014-08-25 |
| 1427320928 | Aoife Elizabeth O'brien | Advanced Practice Midwife | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2012-01-31 |
| 1083921282 | Alexis Leigh Nolan | Midwife | 121 Medical Center Dr, Ste 2700, Brunswick, ME 04011-2669 | 2010-09-09 |
| 1053544718 | Annemarie B. Curnin | Midwife | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2009-08-28 |
| 1972768166 | Diana Vradii | Internal Medicine | 121 Medical Center Dr, Suite 3500, Brunswick, ME 04011-2653 | 2008-07-28 |
| 1912167347 | Laura B Smith-tucker | Nurse Practitioner | 121 Medical Center Dr, Suite 3400, Brunswick, ME 04011-2653 | 2008-06-10 |
| 1396928412 | Suzanne W Zimmerman | Registered Nurse | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2007-12-12 |
| 1477762383 | Mid Coast Cardiology | Internal Medicine | 121 Medical Center Dr, Suite 3100, Brunswick, ME 04011-2653 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821072398 | George Edmund Powell IIi | Internal Medicine | 3226 Hampton Ave Ste A, Brunswick, GA 31520-4226 | 2005-11-30 |
| 1891794830 | Enrique C. Martinez | Internal Medicine | 3114a Shrine Rd, Brunswick, GA 31520-4745 | 2005-07-20 |
| 1124500939 | Jordan Ahnert | Internal Medicine | 3226 Hampton Ave Ste A, Brunswick, GA 31520-4226 | 2018-08-29 |
| 1366676256 | Geeta Godara | Internal Medicine | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2009-05-07 |
| 1477762383 | Mid Coast Cardiology | Internal Medicine | 121 Medical Center Dr, Suite 3100, Brunswick, ME 04011-2653 | 2007-05-21 |
| 1326128497 | Scott D Mills | Internal Medicine | 121 Medical Center Drive, Suite 3100, Brunswick, ME 04011 | 2006-10-16 |
| 1578643664 | Paul R Burns | Internal Medicine | 121 Medical Center Drive, Suite 3100, Brunswick, ME 04011 | 2006-10-16 |
| 1386654457 | Strickland, Certain & Jones | Internal Medicine | 2500 Starling St, Suite #404, Brunswick, GA 31520-4219 | 2006-08-09 |
| 1043238470 | Avery Wade Strickland | Internal Medicine | 2500 Starling St, Suite #404, Brunswick, GA 31520-4219 | 2006-07-17 |
| 1952329385 | Mitchell Taylor Jones | Internal Medicine | 2500 Starling St, Suite #404, Brunswick, GA 31520-4219 | 2006-07-17 |
| Find all providers in BRUNSWICK | ||||
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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.