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

Wilben Andy Lariviere, PA

Individual provider Medical Physician Assistant · NPI 1154076933

Wilben Andy Lariviere, PA is a Medical Physician Assistant in Mesa, Arizona. Works from 3 locations. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2045 S Vineyard Ste 119
Mesa, AZ 85210-6890
Phone: (480) 300-4646
Fax: (480) 300-4646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 333 W Thomas Rd Ste 208a, Phoenix, AZ 85013-4425 — (480) 300-4646
  • 8260 Ne 2nd Ave, Miami, FL 33138-3808 — (305) 757-9555

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1212-P.A. (PR)

Record details

NPI number1154076933
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 19, 2022
Last updated in NPPESSeptember 11, 2025
Certification dateMarch 3, 2023

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