Carlos Tucker Rivera
Case Manager/Care Coordinator in Columbus, OH. Individual provider (NPI-1).
NPI number1407449754
StatusActive
Last updated in NPPESFeb 18, 2021
Details
- NPI
- 1407449754
- Entity type
- Individual (NPI-1)
- Name
- Carlos Tucker Rivera
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 18, 2021
- Certification date
- Feb 18, 2021
- Last updated
- Feb 18, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1421 Hamlet StColumbus, OH 43201-2599
Phone 614-294-8097
Mailing address
1421 Hamlet StColumbus, OH 43201-2599
Phone 614-294-8097
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.
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