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NPI Code Detail

MEDICARE: LUDWING ELIAS RIVERA MD

MEDICARE: LUDWING ELIAS RIVERA MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1366050122
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUDWING ELIAS RIVERA MD
Provider Business Mailing Address
First Line : 10424 SW 7TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33174-1662
Country : US
Telephone Number : 305-823-5000
Fax Number :
Provider Business Practice Location Address
First Line : 2001 W 68TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33016-1898
Country : US
Telephone Number : 305-823-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2020
Last Update Date : 04/09/2026

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Directions to “ LUDWING ELIAS RIVERA MD” Practice Location

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