Organization
FERNANDO RIVABEM MEDICAL AND REHAB CENTER
Active
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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