Individual
CARLO HUGO RIVERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN, ACNPC-AG
Contact information
Practice address
336 DEERFIELD RD, BOONE, NC 28607-5008
(828) 262-4100
Mailing address
4801 HAYRIDE CT, TAMPA, FL 33624-1550
(813) 404-9834
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5018366
NC
Other
Enumeration date
06/28/2023
Last updated
02/05/2025
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