Healthcare Provider Details

I. General information

NPI: 1972686327
Provider Name (Legal Business Name): ANDRES RIVERO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2006
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 E 25TH ST STE 516
HIALEAH FL
33013-3834
US

IV. Provider business mailing address

777 E 25TH ST STE 516
HIALEAH FL
33013-3834
US

V. Phone/Fax

Practice location:
  • Phone: 305-671-3722
  • Fax:
Mailing address:
  • Phone: 305-671-3722
  • Fax: 305-671-3799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME 107847
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME 107847
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberME 107847
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: