Healthcare Provider Details

I. General information

NPI: 1609732254
Provider Name (Legal Business Name): YORKIEL LOPEZ RIVERA ARNP-FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12850 SW 231ST ST
MIAMI FL
33170-7633
US

IV. Provider business mailing address

12850 SW 231ST ST
MIAMI FL
33170-7633
US

V. Phone/Fax

Practice location:
  • Phone: 786-661-0508
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF12250274
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: