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

Rivera Medical, LLC

Organization Internal Medicine Physician · NPI 1467756338

Rivera Medical, LLC is an Internal Medicine Physician in Carlyle, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
Specialties on file
3
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

1110 Mulliken St
Carlyle, IL 62231-1233
Phone: (618) 594-3613
Fax: (618) 594-4799
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 036-096480 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036-096480 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 036-096480 (IL)

Record details

NPI number1467756338
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Rivera — Office Manager · (618) 594-3613
NPI enumeratedJanuary 6, 2011
Last updated in NPPESJune 29, 2012
Mailing address1110 Mulliken St, Carlyle, IL 62231-1233

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