Individual
CHRISTOPHER RIVERA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10108 SANDSTONE POND WAY, ORLANDO, FL 32827-6928
(619) 240-6986
Mailing address
10108 SANDSTONE POND WAY, ORLANDO, FL 32827-6928
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
341600000X
Ambulance
—
—
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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