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Santos Michael Rivera, PA-C
Surgical Physician Assistant in San Antonio, Texas
NPI 1154335792

Santos Michael Rivera is a Surgical Physician Assistant based in San Antonio, TX and is specialized in Surgical. Santos Michael Rivera practices in San Antonio, TX and has the professional credentials of PA-C. The NPI Number for Santos Michael Rivera is 1154335792 and holds a License No. PA01255 (Texas).

The current practice location address for Santos Michael Rivera is 3463 Magic Dr Ste T21, San Antonio, TX and can be reached out via phone at 210-614-8101 and via fax at 210-614-8102.

Location: 3463 Magic Dr Ste T21, San Antonio, TX, 78229-3621
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Provider Profile Details
NPI Number
1154335792
Provider Name
Santos Michael Rivera
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3463 Magic Dr Ste T21, San Antonio, TX, 78229-3621
Phone Number
210-614-8101
Fax Number
210-614-8102
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
88N947 01 TX BCBS OF TEXAS
institution
Provider Business Practice Location Address Details
Address
3463 Magic Dr Ste T21
City
State
Zip
78229
Phone Number
210-614-8101
Fax Number
210-614-8102
person
Provider Business Mailing Address Details
Address
3463 Magic Dr Ste T21
City
State
Zip
78229
Phone Number
210-614-8101
Fax Number
210-614-8102
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA01255 (Texas)
Definition
Definition to come...
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