Individual
MR. ANDRES ALFONSO RIVERA II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20165 KASSERINE WAY, FORT BLISS, TX 79936
(760) 586-0398
Mailing address
10417 SILVERCLOUD DR, EL PASO, TX 79924-2465
(760) 586-0398
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT-2025-0013
NM
2255A2300X
Athletic Trainer
Primary
AT9261
TX
Other
Enumeration date
02/19/2019
Last updated
11/19/2025
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