OrganizationActive
Modesto S Rivera III MD PA
NPI 1922325026 · Clinic/Center · Prnc Frederck, MD
Modesto S Rivera III MD PA is a Clinic/Center organization in Prnc Frederck, MD (NPI 1922325026).
Provider details
- NPI number
- 1922325026
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Modesto Rivera, President(410) 535-4242
- License
- D19963 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
806 Solomons Island Rd N
Prnc Frederck, MD 20678-3919
Phone: (410) 535-3424
Fax: (410) 535-4983
Street-level locationGet directions
Mailing address
806 Solomons Island Rd N
Prnc Frederck, MD 20678-3919
Registry dates
- Enumerated
- 2010-04-28
- Last updated
- 2010-04-28
Frequently asked questions
- What is Modesto S Rivera III MD PA's NPI number?
- Modesto S Rivera III MD PA's National Provider Identifier (NPI) is 1922325026, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modesto S Rivera III MD PA?
- Modesto S Rivera III MD PA is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Modesto S Rivera III MD PA located?
- Modesto S Rivera III MD PA's practice location on file with NPPES is 806 Solomons Island Rd N, Prnc Frederck, MD 20678-3919.
- What is Modesto S Rivera III MD PA's phone number?
- The practice phone number listed in the NPPES registry for Modesto S Rivera III MD PA is (410) 535-3424.
- Who is the authorized official for Modesto S Rivera III MD PA?
- The authorized official listed on Modesto S Rivera III MD PA's NPPES record is Modesto Rivera, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modesto S Rivera III MD PA's NPI active?
- Yes — Modesto S Rivera III MD PA's NPI (1922325026) is active in the NPPES registry as of the last update on 2010-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.