RIVERA MEDICAL, LLC
NPI 1649574518
Internal Medicine 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: January 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rivera Medical, Llc NPPES

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

RIVERA MEDICAL, LLC (NPI 1649574518) is a healthcare organization registered as an internal medicine in Carlyle, Illinois and active in the NPI registry since January 2011. The organization lists Lisa R Rivera, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1649574518
Entity TypeOrganization
Primary Taxonomy207R00000X
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
Fax(618) 594-4799
Organization SubpartNo
Authorized OfficialLisa R RiveraOffice Manager · (618) 594-3613
Enumeration DateJanuary 6, 2011
NPI 1649574518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036096480
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 036096480 (IL)
1110 MULLIKEN ST, Carlyle, IL 62231

Other Identifiers 1

Medicare OSCAR/certification566130IL

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.

Clinic/Center (Rural Health)
1110 MULLIKEN ST
CARLYLE, IL 62231
Nurse Practitioner
1110 MULLIKEN ST
CARLYLE, IL 62231
Clinic/Center (Rural Health)
1110 MULLIKEN ST
CARLYLE, IL 62231
Surgery
1110 MULLIKEN ST
CARLYLE, IL 62231

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 1649574518. 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 Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Rivera Medical, LLC was last updated on January 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.