IndividualActive
Andrew Rivera, PTA
NPI 1215644000 · Aerospace Medicine Physician · Tucson, AZ
Provider details
- NPI number
- 1215644000
- Entity type
- Individual
- Primary specialty
- Aerospace Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7616B (AZ)
Mailing address
5621 E Water St
Tucson, AZ 85712-2240
Registry dates
- Enumerated
- 2022-11-01
- Last updated
- 2022-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.