Healthcare Provider Details

I. General information

NPI: 1750833430
Provider Name (Legal Business Name): MS. DARLENE RIVERON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2016
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 NW 150TH AVE STE 2109
PEMBROKE PINES FL
33028-2870
US

IV. Provider business mailing address

241 E 55TH ST
HIALEAH FL
33013-1440
US

V. Phone/Fax

Practice location:
  • Phone: 954-378-5381
  • Fax:
Mailing address:
  • Phone: 786-877-1460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH23019
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: