1. Home
  2. Directory
  3. Illinois
  4. Carlyle
  5. Clinic Center
  6. NPI Profile

RIVERA MEDICAL OFFICE, LLC
NPI 1114073756
Clinic/Center - Rural Health in Carlyle, IL

Active since January 26, 2007
1110 MULLIKEN ST, CARLYLE, IL 62231(618) 594-3613(681) 594-4799 Get Directions Write a Review

NPPES record last updated: May 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rivera Medical Office, Llc NPPES

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

RIVERA MEDICAL OFFICE, LLC (NPI 1114073756), doing business as Renato B. Rivera, Md, Llc, is a healthcare organization registered as a rural health in Carlyle, Illinois and active in the NPI registry since January 2007. The organization lists Lisa R Rivera, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114073756
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameRIVERA MEDICAL OFFICE, LLC
Location Address1110 MULLIKEN STCarlyle, IL 62231-1233
Mailing Address1110 Mulliken St, Po Box 147Carlyle, IL 62231-1233 · (618) 594-3613 · Fax (681) 594-4799
Phone(618) 594-3613
Fax(681) 594-4799
Organization SubpartNo
Authorized OfficialLisa R RiveraOffice Manager · (618) 594-3613
Enumeration DateJanuary 26, 2007
Last NPPES UpdateMay 16, 2008
✔ NPI 1114073756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in IL · 036-096480
Also ListedInternal MedicineTaxonomy 207R00000X · License 036096480 (IL)
Also ListedPediatricsTaxonomy 208000000X · License 036096480 (IL)
1110 MULLIKEN ST, Carlyle, IL 62231
Open in Google Maps ↗

Other Names 1

Former Legal Business NameRenato B. Rivera, Md, Llc

Other Identifiers 4

Medicare UPING96384
Medicaid=========001IL
Medicare ID-Type Unspecified148946IL · Rhc Medicare Number
Medicare OSCAR/certification148946

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MICHAEL CUE RIVERA FNP
Nurse Practitioner
1110 MULLIKEN ST
CARLYLE, IL 62231
Clinton County (618) 594-3613
RIVERA MEDICAL, LLC
Clinic/Center (Rural Health)
1110 MULLIKEN ST
CARLYLE, IL 62231
Clinton County (618) 594-3613
RIVERA MEDICAL, LLC
Internal Medicine
1110 MULLIKEN ST
CARLYLE, IL 62231
Clinton County (618) 594-3613
RIVERA MEDICAL OFFICE, LLC
Surgery
1110 MULLIKEN ST
CARLYLE, IL 62231
Clinton County (618) 594-3613

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 Rivera Medical Office, LLC's NPI number?

The NPI number for Rivera Medical Office, LLC is 1114073756. It was assigned to this organization in the NPPES registry on January 26, 2007. The provider was formerly known as Renato B. Rivera, MD, LLC.

Where is Rivera Medical Office, LLC located?

Rivera Medical Office, LLC is located at 1110 Mulliken St, Carlyle, IL 62231. The listed phone number is (618) 594-3613.

What is Rivera Medical Office, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Rivera Medical Office, LLC was last updated on May 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.