Individual
MONICA M RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
2591 CARRICKTON CIR, ORLANDO, FL 32824-4217
(703) 304-3912
Mailing address
PO BOX 941274, MAITLAND, FL 32794-1274
(888) 322-6432
(888) 329-6432
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165383
CSFA CERTIFICATION
—
Enumeration date
10/09/2008
Last updated
01/13/2019
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