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General NPI Number Information
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NPI Number | 1376734749
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Entity Type | Individual
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Provider Name | ITZA M RIVERA MD
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Gender | Female
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 6735 CONROY RD STE 410
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City | ORLANDO
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State | FL
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Zip | 32835-3567
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Country | US
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Telephone | 407-604-7053
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Fax | 407-550-3763
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Provider Business Mailing Address
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Address Line | 11954 NARCOOSSEE RD STE 2-223
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City | ORLANDO
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State | FL
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Zip | 32832-6998
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Country | US
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Telephone | 407-604-7053
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 17530
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME134558
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2081N0008X
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Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | ME134558
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2081N0008X
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Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 17530
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License Number State | PR
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