Healthcare Provider Details

I. General information

NPI: 1144427931
Provider Name (Legal Business Name): MARIBEL RIVERA-MULERO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIBEL RIVERA-MULERO MD

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 GOODLETTE-FRANK RD N UNIT 200
NAPLES FL
34103-4607
US

IV. Provider business mailing address

PO BOX 2147
FORT MYERS FL
33902-2147
US

V. Phone/Fax

Practice location:
  • Phone: 239-343-6050
  • Fax: 239-468-7960
Mailing address:
  • Phone: 239-343-6050
  • Fax: 239-343-6051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME114141
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number185620
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: