Organization
RIVA HEALTH PROVIDER GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN A HIRSCH MD (MEDICAL DIRECOTR)
(720) 500-3889
Entity
Organization
Contact information
Practice address
382 NE 191ST ST, MIAMI, FL 33179-3899
(720) 500-3889
Mailing address
382 NE 191ST ST, MIAMI, FL 33179-3899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
03/15/2023
Last updated
07/11/2023
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