Healthcare Provider Details

I. General information

NPI: 1881922813
Provider Name (Legal Business Name): MRS. ROSALIA RIVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2009
Last Update Date: 12/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8002 SW 149TH AVE B-203
MIAMI FL
33193-3144
US

IV. Provider business mailing address

8002 SW 149TH AVE B-203
MIAMI FL
33193-3144
US

V. Phone/Fax

Practice location:
  • Phone: 786-339-0356
  • Fax:
Mailing address:
  • Phone: 786-339-0356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1103X
TaxonomyResearch Study Abstracter/Coder
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: