# ALEXANDER RIVERA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114357381
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 1115692 | TX | — |
| 363A00000X | Physician Assistant | 55130 | CA | Yes |

## Other

- **Enumeration date:** 11/25/2013
- **Last updated:** 09/25/2020