3808 WOODLAWN
PASADENA, TX 77504-1933 US PECOS Enrolled
Overview
Raul A Rivera is a Internal Medicine Physician in the PASADENA area and has over 37 years of experience. Raul A Rivera primary office location is at 3808 WOODLAWN and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1987
Raul A Rivera is affiliated with three hospitals in the PASADENA area, including . The NPI number is 1205853843 and the information was updated approximately 12 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| J9302 | TX |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 123992304 | TX |
| MEDICAID | 123992306 | TX |
| MEDICARE ID | 110149344 | TX |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | TX | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20120118000259 |
| PECOS Individual PAC ID: | 7517147689 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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