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NPI Code Detail

MEDICARE: DENCY RIVAS M.D.

MEDICARE: DENCY RIVAS M.D.
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
1174400000XSpecialistME0042771FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861493900
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENCY RIVAS M.D.
Provider Business Mailing Address
First Line : 2906 BRYAN RD
Second Line :
City : BRANDON
State : FL
Zip : 33511-7510
Country : US
Telephone Number : 813-628-4400
Fax Number : 813-628-4500
Provider Business Practice Location Address
First Line : 7108 CAUSEWAY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33619-6364
Country : US
Telephone Number : 813-628-4400
Fax Number : 813-628-4500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 09/11/2025

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