Individual
DR. ANGEL L. RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O. , M.S.
Contact information
Practice address
1607 SAINT JAMES CT, TALLAHASSEE, FL 32308-5352
(850) 878-0191
(850) 878-8900
Mailing address
9225 TREASURE OAK CT, LORTON, VA 22079-1649
(703) 339-8852
(850) 878-8900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
000337
PR
152W00000X
Optometrist
Primary
OP1000120
DC
Other
Enumeration date
10/28/2005
Last updated
01/07/2009
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