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NPI Code Detail

MEDICARE: GABRIELLE ANNE RIVERA-MALDONADO MD

MEDICARE: GABRIELLE ANNE RIVERA-MALDONADO 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 PhysicianME173858FL

General Provider Information

NPI Number : 1982378337
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE ANNE RIVERA-MALDONADO MD
Provider Business Mailing Address
First Line : 725 SW 159TH LN
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33027-5044
Country : US
Telephone Number : 954-815-1892
Fax Number :
Provider Business Practice Location Address
First Line : 17 DAVIS BLVD STE 308
Second Line :
City : TAMPA
State : FL
Zip : 33606-3438
Country : US
Telephone Number : 813-972-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2021
Last Update Date : 05/27/2026

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