MEDICARE: VIMARELIS RIVERA CONTES DC

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	111N00000X	Chiropractor	CH14523	FL

General Provider Information

NPI Number	:	1326618877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIMARELIS RIVERA CONTES DC

Provider Business Mailing Address
First Line	:	333 TAMIAMI TRL S STE 298
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34285-2427
Country	:	US
Telephone Number	:	941-484-0008
Fax Number	:	941-484-0014

Provider Business Practice Location Address
First Line	:	333 TAMIAMI TRL S STE 298
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34285-2427
Country	:	US
Telephone Number	:	941-484-0008
Fax Number	:	941-484-0014

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

Provider Enumeration Date	:	06/28/2021
Last Update Date	:	05/15/2026

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Directions to “ VIMARELIS RIVERA CONTES DC” Practice Location

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