MEDICARE: DR. LUIS ARNALDO RIVERA-BERRIOS M.D.

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	207V00000X	Obstetrics & Gynecology	21458	OK

General Provider Information

NPI Number	:	1194824151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS ARNALDO RIVERA-BERRIOS M.D.

Provider Business Mailing Address
First Line	:	980 MARINA DR
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33327-2123
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 NW 16TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-1624
Country	:	US
Telephone Number	:	305-575-7000
Fax Number	:

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

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	11/03/2010

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