Basic Information
Provider Information
NPI: 1235405333
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RIVAS
FirstName: SAUL
MiddleName: DANIEL
NamePrefix: DR.
NameSuffix:  
Credential: MSPH, MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2102 TREASURE HILLS BLVD # 3.14405
Address2:  
City: HARLINGEN
State: TX
PostalCode: 785508736
CountryCode: US
TelephoneNumber: 9562961437
FaxNumber: 9562966842
Practice Location
Address1: 2821 MICHAELANGELO DR
Address2:  
City: EDINBURG
State: TX
PostalCode: 785391404
CountryCode: US
TelephoneNumber: 9563623553
FaxNumber: 9563623529
Other Information
ProviderEnumerationDate: 03/22/2012
LastUpdateDate: 09/07/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD2016-0281NMN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000XQ9893TXY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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