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

Individual provider Physician Assistant · NPI 1992399125

Gerardo Rivera, PA-C is a Physician Assistant in Houston, Texas. Qualified in 2020, 6 years ago. Practices with Proactive Therapy of North Carolina Inc, a 565-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

902 Frostwood Dr Ste 155
Houston, TX 77024-2449
Phone: (832) 530-4159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1515 Holcombe Blvd, Houston, TX 77030-4000 — (713) 792-6161

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA14388 (TX)

Record details

NPI number1992399125
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 28, 2021
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024
Mailing addressPo Box 4439, Houston, TX 77210-4439

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Proactive Therapy Of North Carolina Inc — 565 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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