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

Jose Angel Rivas

Individual provider Athletic Trainer · NPI 1083167373

Jose Angel Rivas is an Athletic Trainer in Edgewood, New Mexico. Licensed in New Mexico. Registered with an NPI since 2016.

Licensed in
NM
In the registry since
2016
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Practice location Address checks out

60 Range Rd
Edgewood, NM 87015-9028
Phone: (505) 620-6676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 511309484 (NM)

Record details

NPI number1083167373
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 3, 2016
Last updated in NPPESAugust 3, 2016