OrganizationActive
Rivera Medical Office, LLC
NPI 1114073756 · Rural Health Clinic/Center · Carlyle, IL
Provider details
- NPI number
- 1114073756
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Rivera, Office Manager(618) 594-3613
- License
- 036096480 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1110 Mulliken St
Carlyle, IL 62231-1233
Phone: (618) 594-3613
Fax: (681) 594-4799
Approximate (ZIP-level) locationGet directions
Mailing address
1110 Mulliken St
Carlyle, IL 62231-1233
Other names (DBA / former)
- Former legal business name
- Renato B. Rivera, MD, LLC
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2008-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.