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RIVERA MEDICAL, LLC
NPI 1467756338
Clinic/Center - Rural Health in Carlyle, IL

Active since January 06, 2011
1110 MULLIKEN ST, CARLYLE, IL 62231(618) 594-3613(618) 594-4799 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rivera Medical, Llc NPPES

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

RIVERA MEDICAL, LLC (NPI 1467756338) is a healthcare organization registered as a rural health in Carlyle, Illinois and active in the NPI registry since January 2011. The organization lists Lisa Rivera, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1467756338
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameRIVERA MEDICAL, LLC
Location Address1110 MULLIKEN STCarlyle, IL 62231-1233
Mailing Address1110 Mulliken StCarlyle, IL 62231-1233 · (618) 594-3613 · Fax (618) 594-4799
Phone(618) 594-3613
Fax(618) 594-4799
Organization SubpartNo
Authorized OfficialLisa RiveraOffice Manager · (618) 594-3613
Enumeration DateJanuary 6, 2011
Last NPPES UpdateJune 29, 2012
✔ NPI 1467756338 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 036-096480 (IL)
Also ListedPediatricsTaxonomy 208000000X · License 036-096480 (IL)
1110 MULLIKEN ST, Carlyle, IL 62231
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Other Identifiers 2

Medicare OSCAR/certification148946IL
Medicare UPING96384IL

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.

RIVERA MEDICAL OFFICE, LLC
Clinic/Center (Rural Health)
1110 MULLIKEN ST
CARLYLE, IL 62231
Clinton County (618) 594-3613
MICHAEL CUE RIVERA FNP
Nurse Practitioner
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, LLC's NPI number?

The NPI number for Rivera Medical, LLC is 1467756338. It was assigned to this organization in the NPPES registry on January 6, 2011.

Where is Rivera Medical, LLC located?

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

What is Rivera Medical, 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, LLC was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.