# ANTONIO J RIVAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346470267
- **Gender:** Man
- **Credential:** MPAS,PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA 9102220 | FL | Yes |

## Other

- **Enumeration date:** 07/27/2009
- **Last updated:** 07/27/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PA 9102220 | PA LICENSE | FL |