Provider Demographics
NPI:1275969941
Name:MARTI RIVERA, FELIX MANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:MANUEL
Last Name:MARTI RIVERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2142 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-6829
Mailing Address - Country:US
Mailing Address - Phone:787-972-8987
Mailing Address - Fax:
Practice Address - Street 1:2142 SUNSET DR
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-6829
Practice Address - Country:US
Practice Address - Phone:325-245-4211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19097207Q00000X
TXQ7741207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine