Individual
DR. XYOMARA EMMA RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5501 N 19TH AVE STE 218, PHOENIX, AZ 85015-2452
(602) 413-0431
(602) 314-4579
Mailing address
5501 N 19TH AVE STE 218, PHOENIX, AZ 85015-2452
(602) 413-0431
(602) 314-4579
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
28633R
PR
208000000X
Pediatrics Physician
Primary
49634
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
944854
—
AZ
Enumeration date
09/07/2011
Last updated
08/22/2019
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