Active NPIIndividual provider

Dr. John E Rivera Jr., MD

Family Medicine in Milldale, Connecticut

NPI Number1720044811
Practice location
Po Box 770, Milldale, CT 06467-0770
Fax
860-621-3833
Last updated
March 31, 2026

John Edwin Rivera is a Family Medicine based in Milldale, CT. John Edwin Rivera practices in Milldale, CT and has the professional credentials of MD. The NPI Number for John Edwin Rivera is 1720044811 and holds a License No. 042567 (CT). The current practice location address for John Edwin Rivera is Po Box 770, Milldale, CT 06467-0770 and can be reached out via phone at 860-621-5554 and via fax at 860-621-3833.

Provider Profile Details

NPI Number
1720044811
Provider Name
John Edwin Rivera
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Po Box 770, Milldale, CT 06467-0770
Phone Number
860-621-5554
Fax Number
860-621-3833
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
April 26, 2006
Last Update Date
March 31, 2026
Certification Date
March 31, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
Po Box 770
Milldale, CT 06467-0770
Zip
06467-0770
Phone Number
860-621-5554
Fax Number
860-621-3833
Milldale, CT 06467Get directions →

Provider Business Mailing Address Details

Address
20 York St
Cb-2041
New Haven, CT 06504-8900
City
New Haven
State
CT
Zip
06504-8900
Phone Number
203-688-4748
Fax Number
203-688-4740

License Information

License Number (1)
042567
License State (1)
CT
Taxonomy (1)
Family Medicine · 207Q00000X · Primary
License Number (2)
042567
License State (2)
CT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John E Rivera Jr., MD?

The NPI number of Dr. John E Rivera Jr., MD is 1720044811. It was assigned on April 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John E Rivera Jr., MD?

Dr. John E Rivera Jr., MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 042567.

Where does Dr. John E Rivera Jr., MD practice?

The practice location is Po Box 770, Milldale, CT 06467-0770. The office can be reached at 860-621-5554 (phone) or 860-621-3833 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720044811 directly on the NPPES registry website.

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