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NPI Code Detail

MEDICARE: MRS. VIVIAN LORENZO DEL RIESGO MOT, OTR-L

MEDICARE:  MRS. VIVIAN LORENZO DEL RIESGO  MOT, OTR-L
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
1225X00000XOccupational TherapistOT8340FL

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 : 1477635449
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VIVIAN LORENZO DEL RIESGO MOT, OTR-L
Provider Business Mailing Address
First Line : 4284 S. W. 161 PLACE
Second Line :
City : MIAMI
State : FL
Zip : 33185
Country : US
Telephone Number : 786-208-2814
Fax Number : 305-228-6251
Provider Business Practice Location Address
First Line : 4284 S. W. 161 PLACE
Second Line :
City : MIAMI
State : FL
Zip : 33185
Country : US
Telephone Number : 786-208-2814
Fax Number : 305-228-6251
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 01/08/2010

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Directions to “ MRS. VIVIAN LORENZO DEL RIESGO MOT, OTR-L” Practice Location

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