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

Mr. Lee James Rivera

Individual provider Surgical Physician Assistant · NPI 1255063624

Mr. Lee James Rivera is a Physician Assistant in Edinburg, Texas. Qualified in 2023, 3 years ago. Practices with Renaissance Providers, a 27-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2022

Practice location Address checks out

315 E Mark S Pena Dr Ste B
Edinburg, TX 78539-6304
Phone: (956) 362-6890
Fax: (956) 362-6895
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA17768 (TX)

Record details

NPI number1255063624
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 25, 2022
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing addressPo Box 4624, McAllen, TX 78502-4624

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Renaissance Providers — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Edinburg