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

Individual provider Family Medicine Physician · NPI 1669709846

Dr. Raymond Mauricio Rivas, MD is a Family Practice in Minnetonka, Minnesota. Qualified in 2003, 23 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Pennsylvania.

Years since qualifying
23
Licensed in
MN, PA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15111 Twelve Oaks Center Dr
Minnetonka, MN 55305-5201
Phone: (952) 993-4500
Fax: (952) 993-4676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 53974 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence MT192772 (PA)

Record details

NPI number1669709846
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 10, 2009
Last updated in NPPESJune 17, 2021
Certification dateJune 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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