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General NPI Number Information
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NPI Number | 1396239323
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Entity Type | Individual
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Provider Name | ALIXIER GONZALEZ RIVERA MD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2018
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 5378 W 16TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-2165
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Country | US
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Telephone | 305-820-4101
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Fax | 305-820-2885
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Provider Business Mailing Address
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Address Line | 2151 SW 82ND AVE
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City | MIAMI
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State | FL
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Zip | 33155-1236
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Country | US
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Telephone | 786-960-6164
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 18517
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 135843
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME135843
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License Number State | FL
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