Mauricio F Rivas, PT, DPT
Physical Therapist in San Diego, CA. Individual provider (NPI-1).
NPI number1649067950
StatusActive
Last updated in NPPESApr 21, 2025
Details
- NPI
- 1649067950
- Entity type
- Individual (NPI-1)
- Name
- Mauricio F Rivas
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 21, 2025
- Certification date
- Apr 21, 2025
- Last updated
- Apr 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT307817 | CA | Yes |
Practice location
11848 Bernardo Plaza Ct Ste 100San Diego, CA 92128-2417
Phone 858-217-2496 · Fax 888-493-4898
Mailing address
7854 Bacadi DrSan Diego, CA 92126-3564
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