| Lydia H Rivera, NP | |
|
1209 W Target Range Rd, Nogales, AZ 85621-2466 | |
| (520) 287-4747 | |
| (520) 285-3136 |
| Full Name | Lydia H Rivera |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1209 W Target Range Rd, Nogales, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225479868 | NPI | - | NPPES |
| 836331 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP5061 (Arizona) | Primary |
| Entity Name | Mariposa Community Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417985474 PECOS PAC ID: 8123926326 Enrollment ID: O20031226000065 |
| Entity Name | Tucson Physician Group Holdings Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356726939 PECOS PAC ID: 0547560070 Enrollment ID: O20151204001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia H Rivera, NP 825 N Grand Ave Ste 100, Nogales, AZ 85621-1061 Ph: (520) 761-2133 | Lydia H Rivera, NP 1209 W Target Range Rd, Nogales, AZ 85621-2466 Ph: (520) 287-4747 |
Mrs. Emily T Roth, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1209 W Target Range Rd, Nogales, AZ 85621 Phone: 520-761-2133 Fax: 520-281-1112 | |
Francisco Sandoval, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
Ms. Raquel Anne Mendoza, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1209 W Target Range Rd, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
Maria Luz Sotomayor, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 | |
Dr. Martha Veronica Borbon, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1209 W Target Range Rd, Nogales, AZ 85621 Phone: 520-287-4747 Fax: 520-287-4747 | |
Ms. Ada Maureen Rojas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3231 N Grand Ave, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 |