Individual
CATHLEEN M RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1605 S 31ST STREET, TEMPLE, TX 76508
(254) 215-0100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N4040
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86080015085259D011
TRIWEST
AZ
05
—
937881
—
AZ
01
—
P00281306
RAILROAD MEDICARE
AZ
Enumeration date
12/06/2005
Last updated
12/28/2021
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