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Organization
HOMERO RIVERO MD PA
Active
Organization
HOMERO RIVERO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOMERO RIVERO MD (OWNER)
(305) 264-9767
Entity
Organization
Contact information
Practice address
6741 CORAL WAY, STE 50 51, MIAMI, FL 33155-1762
(305) 264-9767
(305) 264-9768
Mailing address
6741 CORAL WAY, STE 50 51, MIAMI, FL 33155-1762
(305) 264-9767
(305) 264-9768
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272128700
—
FL
01
—
30583
BCBS
FL
Enumeration date
12/22/2006
Last updated
07/30/2009
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