Individual
MR. PETER JULIAN RIVERA MENORCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
301 E MIEL DE LUNA AVE, TUCUMCARI, NM 88401-3810
(575) 461-7230
Mailing address
415 E WASHINGTON AVE APT 6, TUCUMCARI, NM 88401-3812
(954) 870-0213
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
PT-2023-2047
NM
225100000X
Physical Therapist
Primary
1287167
TX
Other
Enumeration date
08/21/2018
Last updated
11/05/2025
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