Individual
JUAN CARLOS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
9947 NW 10TH TER, MIAMI, FL 33172-5712
(305) 803-4950
Mailing address
9947 NW 10TH TER, MIAMI, FL 33172-5712
(305) 803-4950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11002473
FL
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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