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General NPI Number Information
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NPI Number | 1699056572
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Entity Type | Individual
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Provider Name | ORLANDO L RIVERO MD
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Gender | Male
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Dates
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Enumeration Date | 09/06/2011
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 13306 SW 128TH ST
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City | MIAMI
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State | FL
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Zip | 33186-5899
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Country | US
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Telephone | 305-424-9060
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Fax |
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Provider Business Mailing Address
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Address Line | 15868 SW 136TH WAY
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City | MIAMI
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State | FL
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Zip | 33196-1818
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Country | US
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Telephone | 305-793-2392
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 18304
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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 | 445
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 160643
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License Number State | FL
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