Individual
DR. CARLOS JAVIER COLLADO-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6150 MEDICAL PARK LOOP, FORT MYERS, FL 33912-4537
(239) 722-3600
(239) 772-3995
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2052
(239) 343-5348
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME167510
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123497700
—
FL
Enumeration date
04/15/2021
Last updated
07/18/2025
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