Provider Demographics
NPI:1093767410
Name:RIVERA-OPIO, NORMA M (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:M
Last Name:RIVERA-OPIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 W TIDWELL RD STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-4356
Mailing Address - Country:US
Mailing Address - Phone:713-691-7490
Mailing Address - Fax:713-691-0079
Practice Address - Street 1:509 W TIDWELL RD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-4356
Practice Address - Country:US
Practice Address - Phone:713-691-7490
Practice Address - Fax:713-691-0079
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146296202Medicaid
TX8426N0Medicare ID - Type Unspecified
TX146296201Medicaid