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Organization
VISTA CARDIOVASCULAR INNOVATIONS, LLC
Active
Organization
VISTA CARDIOVASCULAR INNOVATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE RIVERA MD (OWNER)
(941) 545-8954
Entity
Organization
Contact information
Practice address
3904 CORTEZ RD W STE 300, BRADENTON, FL 34210-3204
(941) 545-8954
Mailing address
3904 CORTEZ RD W STE 300, BRADENTON, FL 34210-3204
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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