MEDICARE: JOYCE RIVERA FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11027462	FL

General Provider Information

NPI Number	:	1093494411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE RIVERA FNP

Provider Business Mailing Address
First Line	:	6990 NW 186TH ST APT 302
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-3134
Country	:	US
Telephone Number	:	786-458-7994
Fax Number	:

Provider Business Practice Location Address
First Line	:	1435 W 49TH PL
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3197
Country	:	US
Telephone Number	:	305-280-5810
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2023
Last Update Date	:	05/25/2026

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