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Individual

CALEB RUBEN RIVERA

Active
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Individual

CALEB RUBEN RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
99029
GA
2085R0202X
Diagnostic Radiology Physician
Primary
ME79179
FL
2085R0204X
Vascular & Interventional Radiology Physician
99029
GA
2085R0204X
Vascular & Interventional Radiology Physician
ME79179
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
257811500
FL
Enumeration date
10/06/2005
Last updated
11/05/2025
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