Organization
RIVERA PRIMARY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE S RIVERA IRIZARRY MD (CEO)
(863) 657-5557
Entity
Organization
Contact information
Practice address
295 PATTERSON RD STE 103, HAINES CITY, FL 33844-6247
(407) 966-4222
Mailing address
PO BOX 580730, KISSIMMEE, FL 34758-0010
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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