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NPI Code Detail

MEDICARE: DR. GUSTAVO ALEXIS RIVERA-ALVAREZ MD

MEDICARE:  DR. GUSTAVO ALEXIS RIVERA-ALVAREZ  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
1207R00000XInternal Medicine Physician156099FL

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 : 1982135638
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GUSTAVO ALEXIS RIVERA-ALVAREZ MD
Provider Business Mailing Address
First Line : 6532 NW 170TH TER
Second Line :
City : HIALEAH
State : FL
Zip : 33015-4617
Country : US
Telephone Number : 787-516-5773
Fax Number :
Provider Business Practice Location Address
First Line : 6532 NW 170TH TER
Second Line :
City : HIALEAH
State : FL
Zip : 33015-4617
Country : US
Telephone Number : 787-516-5773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2017
Last Update Date : 06/10/2025

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Directions to “ DR. GUSTAVO ALEXIS RIVERA-ALVAREZ MD” Practice Location

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