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NPI Code Detail

MEDICARE: MARISOL MIGDALIA RIVERA ARNP

MEDICARE:   MARISOL MIGDALIA RIVERA  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner336083NY
2163W00000XRegistered Nurse569137NY
3163W00000XRegistered Nurse9288187FL
4363LF0000XFamily Nurse PractitionerARNP9288187FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245460856
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISOL MIGDALIA RIVERA ARNP
Provider Business Mailing Address
First Line : 2900 CORPORATE WAY
Second Line : DOOR D
City : MIRAMAR
State : FL
Zip : 33025
Country : US
Telephone Number : 954-276-5685
Fax Number : 954-276-7074
Provider Business Practice Location Address
First Line : 1150 N 35TH AVE STE 330
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-5488
Country : US
Telephone Number : 954-265-4325
Fax Number : 954-935-3186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2009
Last Update Date : 01/28/2026

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Directions to “ MARISOL MIGDALIA RIVERA ARNP” Practice Location

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