Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cmr2612, LLC

Organization Family Nurse Practitioner · NPI 1063221836

Cmr2612, LLC is a Family Nurse Practitioner in Phoenix, Arizona. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24 W Camelback Rd Ste A
Phoenix, AZ 85013-2529
Phone: (623) 377-2747
Fax: (602) 581-3016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1063221836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carlos Rivera — Provider · (623) 377-2747
Other names Cmr Wound Housecall; Carlos Rivera
NPI enumeratedJanuary 6, 2025
Last updated in NPPESJanuary 6, 2025
Certification dateDecember 30, 2024
Mailing address24 W Camelback Rd Ste A, Phoenix, AZ 85013-2529

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