Individual provider · Type 1 NPI

Fernando Luis Rivera

Rehabilitation Practitioner · San Jose, CA

NPI number 1205560786 Active

Practice location

232 E Gish Rd
San Jose, CA 95112-4706

Call (408) 876-4284 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Peer Specialist 175T00000XMPSS-FWMJPU (CA)
Rehabilitation Practitioner Primary 225400000XMPSS-FWMJPU (CA)

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1205560786

Fernando Luis Rivera's National Provider Identifier is 1205560786, issued on Jul 12, 2022. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Jose, CA. The record was last updated on Jun 16, 2025.