Blanca Rivera, is a
Student In An Organized Health Care Education/training Program based in San Jose, California. Blanca Rivera is licensed to practice in * (Not Available) (license number ) and her current practice location is
1555 Parkmoor Ave, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 282-0402.
NPI number for Blanca Rivera is 1750749339 and her current mailing address is 120 Maple St, Springfield, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750749339.
Healthcare Provider's Profile
| Full Name | Blanca Rivera |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1555 Parkmoor Ave, San Jose, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1750749339
- Provider Enumeration Date: 02/10/2016
- Last Update Date: 06/30/2023
Medical Identifiers
Medical identifiers for Blanca Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750749339 | NPI | - | NPPES |
| 1307576 | Medicaid | MA | |
| M18463 | Other | MA | BLUE CROSS BLUE SHIELD |
| 1303295 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blanca Rivera is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Blanca Rivera,
120 Maple St,
Springfield, MA 01103-2203
Ph: (413) 846-0445 | Blanca Rivera,
1555 Parkmoor Ave,
San Jose, CA 95128-2407
Ph: (408) 282-0402 |
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