Provider Demographics
NPI:1548765274
Name:SIGALOS-RIVERA, MARA ALEJANDRA (MD)
Entity type:Individual
Prefix:
First Name:MARA
Middle Name:ALEJANDRA
Last Name:SIGALOS-RIVERA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:MARA
Other - Middle Name:ALEJANDRA
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:13492 N HIGHWAY 183 STE 210200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-2252
Mailing Address - Country:US
Mailing Address - Phone:512-434-0730
Mailing Address - Fax:
Practice Address - Street 1:13492 N HIGHWAY 183 STE 210200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-2252
Practice Address - Country:US
Practice Address - Phone:213-293-8763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1635142084P0800X
TXV25722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry