Provider Demographics
NPI:1255215380
Name:RIVERA GARCIA, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:RIVERA GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 282
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:WY
Mailing Address - Zip Code:83001-0282
Mailing Address - Country:US
Mailing Address - Phone:484-516-8670
Mailing Address - Fax:
Practice Address - Street 1:755 E HANSEN AVE APT 111
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WY
Practice Address - Zip Code:83001-8277
Practice Address - Country:US
Practice Address - Phone:484-516-8670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter