Healthcare Provider Details

I. General information

NPI: 1013837681
Provider Name (Legal Business Name): KARLA E RIVERA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARLA ELOISA RIVERA SABILLON

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 EMBASSY DR
PEMBROKE PINES FL
33026-4573
US

IV. Provider business mailing address

5021 NW 188TH TER
MIAMI GARDENS FL
33055-2437
US

V. Phone/Fax

Practice location:
  • Phone: 786-278-8180
  • Fax:
Mailing address:
  • Phone: 786-278-8180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN32258
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: