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General NPI Number Information
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NPI Number | 1275830820
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Entity Type | Organization
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Legal Business Name | RIVERO MEDICAL CENTER, INC
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Dates
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Enumeration Date | 02/17/2011
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Last Update Date | 02/17/2011
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Provider Practice Location Address
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Address Line | 2500 SW 107TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-2470
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Country | US
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Telephone | 305-480-4013
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Fax | 305-480-4015
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Provider Business Mailing Address
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Address Line | 2500 SW 107TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-2470
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | OSVALDO RIVERO
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Credential |
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Telephone | 786-362-1262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | MM26222
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License Number State | FL
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