Individual
JOSE RAMON RIVAS RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
653-1 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-3140
(904) 244-4771
Mailing address
653 W 8TH ST # L18, JACKSONVILLE, FL 32209-6511
(904) 383-1003
(904) 244-7388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN24271
FL
207RC0000X
Cardiovascular Disease Physician
Primary
TRN24271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TRN24271
FLORIDA TRAINING LICENSE
FL
Enumeration date
03/28/2017
Last updated
03/15/2023
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