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Elsy Elizabet Rivera

Student in an Organized Health Care Education/Training Program in Dallas, TX. Individual provider (NPI-1).

NPI number1124600515
StatusActive
Last updated in NPPESApr 29, 2021

Details

NPI
1124600515
Entity type
Individual (NPI-1)
Name
Elsy Elizabet Rivera
Sex
Female
Sole proprietor
No
Enumeration date
Apr 25, 2021
Certification date
Apr 29, 2021
Last updated
Apr 29, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1441 N Beckley Ave
Dallas, TX 75203-1201

Phone 214-947-2348

Mailing address

2117 Treehouse Ln
Plano, TX 75023-7708

Phone 832-576-8369

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Dallas, TX

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