| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALAN JAVIER RIVERA | 1942880240 | 2021-11-22 |
Alan Javier Rivera is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1942880240. Registration indicates Alan Javier Rivera is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Anesthesiologist Assistant (Anesthesiologist Assistant, ) (Anesthesiologist Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Alan Javier Rivera CAA |
| Practice Office Address | 3601 4TH ST LUBBOCK, TX US |
| Practice Office Telephone | 8067439945 |
| Mailing Address | 5629 DUKE ST LUBBOCK, TX 794161329 US |
| Business Telephone | 8062922050 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 367H00000X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant Anesthesiologist Assistant Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers |
TX |
| 193200000X MULT | Group Code |