Individual
CARMEN RAFOSO RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SLP
Contact information
Practice address
2500 NW 79TH AVE STE 205, DORAL, FL 33122-1003
(786) 470-5453
(786) 483-8466
Mailing address
816 NW 11TH ST, APT:1009, MIAMI, FL 33136-3105
(786) 470-5453
(786) 483-8466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12969
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007137200
—
FL
Enumeration date
01/17/2008
Last updated
04/18/2019
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