Individual
ANNIVETTE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 W 68TH ST, HIALEAH, FL 33016-5446
(305) 640-5836
Mailing address
2750 W 68TH ST, HIALEAH, FL 33016-5446
(305) 640-5836
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2229
NC
152W00000X
Optometrist
Primary
OPC4847
FL
Other
Enumeration date
04/04/2011
Last updated
12/19/2018
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