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

Edwin Rivera

Individual provider Intermediate Emergency Medical Technician · NPI 1568326528

Edwin Rivera is an Undefined Non-Physician Type (Specify) in Ladson, South Carolina. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in South Carolina.

Years since qualifying
7
Licensed in
SC
In the registry since
2025

Practice location Address checks out

3825 Ladson Rd Apt 4105
Ladson, SC 29456-4494
Phone: (843) 478-0345
Show map & directions

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

Specialties & licences

Intermediate Emergency Medical Technician (primary) Taxonomy 146M00000X · Licence SC025627 (SC)

Record details

NPI number1568326528
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 15, 2025
Last updated in NPPESDecember 15, 2025
Certification dateDecember 14, 2025

Medicare enrollment

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

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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