Individual
DEBORAH ANN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6801 JEFFERSON NEST 350, ALBUQUERQUE, NM 87109-4361
(505) 884-8900
(888) 699-4725
Mailing address
6801 JEFFERSON NEST 350, ALBUQUERQUE, NM 87109-4361
(505) 884-8900
(888) 699-4725
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2003-003
NM
363A00000X
Physician Assistant
PA2003-0031
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10005924
LOVELACE HEALTH/SALUD
NM
01
—
201044362
PRESBYTERIAN HEALTH/SALUD
NM
05
—
833104
—
AZ
05
—
85324582
—
NM
01
—
P00081095
RAILROAD MEDICARE
—
01
—
PROVP15120
MOLINA
NM
Enumeration date
02/02/2006
Last updated
05/05/2021
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