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

Rivera Medical Office, LLC

Organization Internal Medicine Physician · NPI 1114073756

Rivera Medical Office, LLC is an Internal Medicine Physician in Carlyle, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
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: (681) 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 036096480 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 036096480 (IL)

Record details

NPI number1114073756
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Rivera — Office Manager · (618) 594-3613
Other names Renato B. Rivera, Md, Llc
NPI enumeratedJanuary 26, 2007
Last updated in NPPESMay 16, 2008
Mailing address1110 Mulliken St, Po Box 147, Carlyle, IL 62231-1233

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