MEDICARE: MS. MARICELA JIMENEZ-RIVERO

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	1041C0700X	Clinical Social Worker	SW7344	FL

General Provider Information

NPI Number	:	1104972066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARICELA JIMENEZ-RIVERO

Provider Business Mailing Address
First Line	:	9174 NW 150TH TER
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33018-1377
Country	:	US
Telephone Number	:	305-826-5081
Fax Number	:

Provider Business Practice Location Address
First Line	:	4175 W 20TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-5874
Country	:	US
Telephone Number	:	305-825-0300
Fax Number	:

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

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1740611607 — MRS. LARA MARIE FONTAN TORRENTE M.S., BCBA
Practice Location Address:

4175 W 20TH AVE
HIALEAH, FL
33012-5874

Practice Phone: 786-209-2140
Practice Fax:

1093677627 — ROSALIA MAZON LCSW
Practice Location Address:

4175 W 20TH AVE
HIALEAH, FL
33012-5874

Practice Phone: 305-825-0300
Practice Fax:

1073571568 — JOSE HUMBERTO PAGLIERY M.D.
Practice Location Address:

4125 W 20TH AVE
HIALEAH, FL
33012-5874

Practice Phone: 305-424-3120
Practice Fax: 305-424-3182

1962450999 — DR. OMAR D SUAREZ MD
Practice Location Address:

4125 W 20TH AVE
HIALEAH, FL
33012-5874

Practice Phone: 305-424-3120
Practice Fax: 305-424-3182

1740232255 — REINALDO HERNANDEZ MD
Practice Location Address:

4175 W 20TH AVE
HIALEAH, FL
33012-5874

Practice Phone: 305-825-0300
Practice Fax: 305-424-3180

1023053931 — JUNIOR WILLIAM PITTACK MD
Practice Location Address:

4175 W 20TH AVE
HIALEAH, FL
33012-5874

Practice Phone: 305-825-0300
Practice Fax:

1700805769 — MS. EVELYN GIZELLE SANTI-HOCHFELDER LMHC
Practice Location Address:

4175 W 20TH AVE
HIALEAH, FL
33012-5874

Practice Phone: 305-825-0300
Practice Fax: 786-209-2140

Directions to “ MS. MARICELA JIMENEZ-RIVERO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.