Individual
JULIO R RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17521 ST LUKES WAY STE 110, THE WOODLANDS, TX 77384-8041
(936) 266-2255
(936) 447-9474
Mailing address
17521 ST LUKES WAY STE 110, THE WOODLANDS, TX 77384-8041
(936) 266-2255
(936) 447-9474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2002-0378
NM
207R00000X
Internal Medicine Physician
N1859
TX
208M00000X
Hospitalist Physician
Primary
N1859
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07187033
—
NM
05
—
198625901
—
TX
05
—
198625902
—
TX
05
—
198625904
—
TX
Enumeration date
08/25/2005
Last updated
08/06/2025
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