| Dr Angel Rivera-soto, MD | |
|
676 Fm 517 Rd W, Dickinson, TX 77539-3904 | |
| (713) 482-4535 | |
| (713) 482-4560 |
| Full Name | Dr Angel Rivera-soto |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 20 Years |
| Location | 676 Fm 517 Rd W, Dickinson, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255657375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | P7698 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Houston Healthcare Clear Lake | Webster, TX | Hospital |
| Memorial Hermann Hospital System | Houston, TX | Hospital |
| Houston Methodist St John Hospital | Nassau bay, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Gulf Coast Pllc | 4688999022 | 526 |
| St.elizabeth Physician Group Pllc | 6002149259 | 2 |
| Entity Name | Privia Medical Group Gulf Coast Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763 |
| Entity Name | St.elizabeth Physician Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659852234 PECOS PAC ID: 6002149259 Enrollment ID: O20190604000602 |
| Entity Name | Vitrics Physician Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609441930 PECOS PAC ID: 8527466788 Enrollment ID: O20211004000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Angel Rivera-soto, MD Po Box 1619, Dickinson, TX 77539-1619 Ph: (713) 482-4535 | Dr Angel Rivera-soto, MD 676 Fm 517 Rd W, Dickinson, TX 77539-3904 Ph: (713) 482-4535 |
Dr. David Detmer, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 1600 Fm 646 N, Dickinson, TX 77539 Phone: 409-925-4821 |