Healthcare Provider Details

I. General information

NPI: 1871371286
Provider Name (Legal Business Name): ARLEY MARRERO RIVAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2553 E SILVER SPRINGS BLVD
OCALA FL
34470-7009
US

IV. Provider business mailing address

1025 SW 1ST AVE
OCALA FL
34471-0900
US

V. Phone/Fax

Practice location:
  • Phone: 352-732-6599
  • Fax: 800-611-5078
Mailing address:
  • Phone: 352-877-7140
  • Fax: 352-369-6801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11028425
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11028425
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: