MR. ANDRES FERNANDO RIVERA M.D
NPI 1508481193
Student in an Organized Health Care Education/Training Program in Elmhurst, NY

Active since June 10, 2020
79-01 BROADWAY, ELMHURST, NY 11373(718) 334-2158(716) 334-2662 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2023, Mar 9, 2022, Jun 10, 2020 (3 updates tracked since 2020).

About Mr. Andres Fernando Rivera M.d NPPES

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

MR. ANDRES FERNANDO RIVERA M.D (NPI 1508481193) is an individual student in an organized health care education/training program in Elmhurst, New York and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1508481193
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. ANDRES FERNANDO RIVERACredential: M.D
Location Address79-01 BROADWAYElmhurst, NY 11373
Mailing Address79-01 BroadwayElmhurst, NY 11373 · (718) 334-2158 · Fax (716) 334-2662
Fax(716) 334-2662
Sole ProprietorNo
Enumeration DateJune 10, 2020
Last NPPES UpdateMarch 24, 20233 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
NPI 1508481193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
79-01 BROADWAY, Elmhurst, NY 11373

Other Providers at the Same Location NPPES 20

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

Audiologist
79-01 BROADWAY
ELMHURST, NY 11373
Physician Assistant
79-01 BROADWAY, ELMHURST HOSPITAL CENTER
ELMHURST, NY 11373
Pediatrics (Neonatal-Perinatal Medicine)
79-01 BROADWAY, ROOM A1-9
ELMHURST, NY 11373
Nurse Practitioner (Psychiatric/Mental Health)
79-01 BROADWAY, MANAGED CARE, D1-01
ELMHURST, NY 11373
Student in an Organized Health Care Education/Training Program
79-01 BROADWAY
QUEENS, NY 11373
Nurse Practitioner (Primary Care)
79-01 BROADWAY, D4 -54 CARDIOLOGY DEPT
ELMHURST, NY 11373
Social Worker
79-01 BROADWAY
ELMHURST, NY 11373
General Acute Care Hospital
79-01 BROADWAY
ELMHURST, NY 11373

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 Andres Rivera's NPI number?

The NPI number for Andres Rivera is 1508481193. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Where is Andres Rivera located?

Andres Rivera practices at 79-01 Broadway, Elmhurst, NY 11373. The listed phone number is (718) 334-2158.

What is Andres Rivera's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Andres Rivera was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.