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CMR2612,LLC
NPI 1063221836
Nurse Practitioner - Family in Phoenix, AZ

Active since January 06, 2025
24 W CAMELBACK RD STE A, PHOENIX, AZ 85013(623) 377-2747(602) 581-3016 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cmr2612,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CMR2612,LLC (NPI 1063221836), doing business as Cmr Wound Housecall, is a healthcare organization registered as a family in Phoenix, Arizona and active in the NPI registry since January 2025. The organization lists Carlos Rivera, Provider, as its authorized official.

NPPES Registry Identity

NPI1063221836
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCMR2612,LLC
Location Address24 W CAMELBACK RD STE APhoenix, AZ 85013-2529
Mailing Address24 W Camelback Rd Ste APhoenix, AZ 85013-2529 · (623) 377-2747 · Fax (602) 581-3016
Phone(623) 377-2747
Fax(602) 581-3016
Organization SubpartNo
Authorized OfficialCarlos RiveraProvider · (623) 377-2747
Enumeration DateJanuary 6, 2025
NPPES CertifiedDecember 30, 2024
✔ NPI 1063221836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
24 W CAMELBACK RD STE A, Phoenix, AZ 85013
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Other Names 2

Doing Business AsCmr Wound Housecall
Other NameCarlos Rivera

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

3GPKIDS LLC
Nurse Practitioner (Family)
24 W CAMELBACK RD STE A
PHOENIX, AZ 85013
Maricopa County (623) 377-2747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cmr2612,llc's NPI number?

The NPI number for Cmr2612,llc is 1063221836. It was assigned to this organization in the NPPES registry on January 6, 2025. The provider is doing business as Cmr Wound Housecall. The provider is also known as Carlos Rivera.

Where is Cmr2612,llc located?

Cmr2612,llc is located at 24 W Camelback Rd Ste A, Phoenix, AZ 85013. The listed phone number is (623) 377-2747.

What is Cmr2612,llc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Cmr2612,llc was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.