Healthcare Provider Details

I. General information

NPI: 1073423950
Provider Name (Legal Business Name): ZIURY LEYDYS RIVES MS.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 NW 22ND AVE
MIAMI FL
33125-2738
US

IV. Provider business mailing address

1111 NW 22ND AVE
MIAMI FL
33125-2738
US

V. Phone/Fax

Practice location:
  • Phone: 305-530-8164
  • Fax: 305-530-8987
Mailing address:
  • Phone: 305-530-8164
  • Fax: 305-530-8987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: