Organization
FERNANDO RIVABEM MEDICAL AND REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO RIVABEM MD (OWNER)
(305) 303-2917
Entity
Organization
Contact information
Practice address
8660 W FLAGLER ST, SUITE 209, MIAMI, FL 33144-2031
(305) 303-2917
Mailing address
8660 W FLAGLER ST, SUITE 209, MIAMI, FL 33144-2031
(305) 303-2917
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME79774
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME79774
MEDICAL LICENSE
FL
Enumeration date
07/29/2015
Last updated
07/29/2015
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