NPI 1083167373

Jose Angel Rivas

Practitioner Athletic Trainer Edgewood, NM

Practice location

Address: 60 Range Rd, Edgewood, NM 87015-9028
Phone: (505) 620-6676

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 511309484 (NM)

Other Specialist/Technologist providers in New Mexico →

Registry record

NPI: 1083167373
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2016
Record last updated: 3 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.