MEDICARE: DANIEL RIVERO-ROMAN

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	106S00000X	Behavior Technician	18-58693	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376102012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL RIVERO-ROMAN

Provider Business Mailing Address
First Line	:	4401 SW 52ND CT APT W
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33314-6521
Country	:	US
Telephone Number	:	954-707-2114
Fax Number	:

Provider Business Practice Location Address
First Line	:	261 N UNIVERSITY DR STE 500-1086
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-2002
Country	:	US
Telephone Number	:	954-931-1803
Fax Number	:	888-320-6434

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

Provider Enumeration Date	:	06/06/2019
Last Update Date	:	02/25/2026

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Directions to “ DANIEL RIVERO-ROMAN ” Practice Location

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