Provider Demographics
NPI:1366495947
Name:NORMA M RIVERA-OPIO MD PA
Entity Type:Organization
Organization Name:NORMA M RIVERA-OPIO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RIVERA-OPIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-278-0539
Mailing Address - Street 1:2345 BERING DR
Mailing Address - Street 2:#221
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4749
Mailing Address - Country:US
Mailing Address - Phone:713-278-0539
Mailing Address - Fax:
Practice Address - Street 1:233 W PARKER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-2915
Practice Address - Country:US
Practice Address - Phone:281-697-2831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8426N0Medicare ID - Type Unspecified
TXH46343Medicare UPIN