Individual
MR. MIKE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12360 SW 132ND CT, SUITE 212, MIAMI, FL 33186-6464
(305) 440-0922
Mailing address
12360 SW 132ND CT, SUITE 212, MIAMI, FL 33186-6464
(305) 440-0922
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
05/11/2016
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