Provider Demographics
NPI:1023130564
Name:RIVERA, APRIL AMBER (LMT)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:AMBER
Last Name:RIVERA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10400 ACADEMY RD NE STE 340
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-7372
Mailing Address - Country:US
Mailing Address - Phone:505-822-8440
Mailing Address - Fax:
Practice Address - Street 1:10400 ACADEMY RD NE STE 340
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-7372
Practice Address - Country:US
Practice Address - Phone:505-822-8440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM5530174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist