Provider Demographics
NPI:1093252454
Name:RIVERA, STEVEN CARAVEO JR (BSP)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:CARAVEO
Last Name:RIVERA
Suffix:JR
Gender:M
Credentials:BSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3513 KAPRAL WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-6413
Mailing Address - Country:US
Mailing Address - Phone:661-706-7379
Mailing Address - Fax:
Practice Address - Street 1:3513 KAPRAL WAY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-6413
Practice Address - Country:US
Practice Address - Phone:661-706-7379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-24
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator