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NPI Code Detail

MEDICARE: MIGUEL RIVERA MD

MEDICARE:   MIGUEL  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
12084P0800XPsychiatry PhysicianME76952FL

Other Identifiers

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

General Provider Information

NPI Number : 1376603829
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIGUEL RIVERA MD
Provider Business Mailing Address
First Line : 652 BEACH RD
Second Line :
City : SARASOTA
State : FL
Zip : 34242-1949
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 652 BEACH RD
Second Line :
City : SARASOTA
State : FL
Zip : 34242-1949
Country : US
Telephone Number : 941-346-5554
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 07/09/2007

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Directions to “ MIGUEL RIVERA MD” Practice Location

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