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Contact Information

SANTOS M RIVERA, PA-C
3463 MAGIC DR STE T21
SAN ANTONIO, TX78229
 Phone: 210-614-8101
 Fax: 210-614-8102
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SANTOS M RIVERA · (Male)

NPI Number 1154335792
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/28/2006
Last updated 08/08/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # PA01255
  • TX Other 88N947 BCBS OF TEXAS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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