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

Walter Ivan Rivera, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164089215

Walter Ivan Rivera, MD is a Student in an Organized Health Care Education/Training Program in Odessa, Texas. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2019
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

701 W 5th St
Odessa, TX 79763-4206
Phone: (432) 703-5238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1309 E Ridge Rd Ste 1, McAllen, TX 78503-1518 — (956) 631-8875

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Surgical Assistant Taxonomy 246ZC0007X · Licence 19-259 (WI)

Record details

NPI number1164089215
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2019
Last updated in NPPESMarch 30, 2024
Certification dateMarch 30, 2024
Mailing address701 W 5th St, Odessa, TX 79763-4206

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