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NPI Code Detail

MEDICARE: MRS. ALEJANDRA PATRICIA RIVERO COTA

MEDICARE: MRS. ALEJANDRA PATRICIA RIVERO COTA
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
1224Z00000XOccupational Therapy AssistantOTA14090FL

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 : 1710379896
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALEJANDRA PATRICIA RIVERO COTA
Provider Business Mailing Address
First Line : 9912 NW 47TH ST
Second Line :
City : SUNRISE
State : FL
Zip : 33351-4706
Country : US
Telephone Number : 954-303-1485
Fax Number :
Provider Business Practice Location Address
First Line : 1955 N FEDERAL HWY UNIT 253
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33062-1036
Country : US
Telephone Number : 954-580-2520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2015
Last Update Date : 02/25/2015

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Directions to “ MRS. ALEJANDRA PATRICIA RIVERO COTA” Practice Location

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