RIVERA MEDICAL OFFICE, LLC
NPI 1689883035
Surgery in Carlyle, IL

Active since May 22, 2007
1110 MULLIKEN ST, CARLYLE, IL 62231(618) 594-3613(618) 594-4799 Get Directions Write a Review

NPPES record last updated: May 12, 2008. Verified against the NPPES registry weekly; last sync: July 26, 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 1689883035), doing business as Renato B. Rivera, Md, Llc, is a healthcare organization registered as a surgery in Carlyle, Illinois and active in the NPI registry since May 2007. The organization lists Lisa Rivera, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1689883035
Entity TypeOrganization
Primary Taxonomy208600000X
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 (618) 594-4799
Fax(618) 594-4799
Organization SubpartNo
Authorized OfficialLisa RiveraOffice Manager · (618) 594-3613
Enumeration DateMay 22, 2007
Last NPPES UpdateMay 12, 2008
NPI 1689883035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IL · 036045712
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036096480 (IL)
Also ListedPediatricsTaxonomy 208000000X · License 036096480 (IL)
1110 MULLIKEN ST, Carlyle, IL 62231

Other Names 1

Former Legal Business NameRenato B. Rivera, Md, Llc

Other Identifiers 2

Medicare OSCAR/certification566130
Other1400038IL · Bluecross Prov #

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
Internal Medicine
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 Office, LLC's NPI number?

The NPI number for Rivera Medical Office, LLC is 1689883035. It was assigned to this organization in the NPPES registry on May 22, 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 Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Rivera Medical Office, LLC was last updated on May 12, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.