Individual
DR. MARCOS ANTONIO RIVERA ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3647 S ORLANDO DR, SANFORD, FL 32773-5611
(407) 541-0115
(407) 344-7910
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(844) 630-0700
(877) 374-1924
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117196700
—
FL
Enumeration date
05/06/2022
Last updated
02/17/2026
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