Healthcare Provider Details

I. General information

NPI: 1710802152
Provider Name (Legal Business Name): BETTY RIVERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

570 FALCON AVE
MIAMI SPRINGS FL
33166-3910
US

IV. Provider business mailing address

570 FALCON AVE
MIAMI SPRINGS FL
33166-3910
US

V. Phone/Fax

Practice location:
  • Phone: 305-527-8495
  • Fax:
Mailing address:
  • Phone: 305-527-8495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW27057
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: