Healthcare Provider Details

I. General information

NPI: 1396185922
Provider Name (Legal Business Name): NORMA IRIS BARBOSA RIVERA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2013
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4998 10TH AVE N
GREENACRES FL
33463-2210
US

IV. Provider business mailing address

4998 10TH AVE N
GREENACRES FL
33463-2210
US

V. Phone/Fax

Practice location:
  • Phone: 561-293-2900
  • Fax: 561-408-8868
Mailing address:
  • Phone: 561-293-2900
  • Fax: 561-408-8860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number133057
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: