Individual provider · Type 1 NPI

Nicole Rivera, DO

Military Health Care Provider · Portsmouth, VA

NPI number 1407659915 Active

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Call (757) 953-5000 Map

Mailing address

98 Washington Ave
Carteret, NJ 07008-2638

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X0116042411 (VA)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1407659915

Nicole Rivera, DO's National Provider Identifier is 1407659915, issued on Mar 31, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Portsmouth, VA. The record was last updated on Jul 11, 2026.