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General NPI Number Information
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NPI Number | 1780678334
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Entity Type | Individual
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Provider Name | FRANCIS RAYMUND RIVERO CARANDANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 601 E ROLLINS ST
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City | ORLANDO
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State | FL
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Zip | 32803-1248
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Country | US
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Telephone | 407-975-0410
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Fax | 407-975-0411
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Provider Business Mailing Address
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Address Line | 8331 N DAVIS HWY
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City | PENSACOLA
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State | FL
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Zip | 32514-6094
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Country | US
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Telephone | 408-717-3483
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 024734
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | ME145223
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License Number State | FL
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