Individual
EMILIO RIVERO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1816 SW 131ST PL, MIAMI, FL 33175-1337
(786) 393-1807
Mailing address
15447 SW 137TH AVE, MIAMI, FL 33177-1279
(305) 254-4407
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
251988
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2018
Last updated
07/13/2020
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