Individual
AGUSTIN RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 WESTWARD DR, MIAMI SPRINGS, FL 33166-5259
(786) 621-9777
(786) 621-9601
Mailing address
255 WESTWARD DR, MIAMI SPRINGS, FL 33166-5259
(786) 621-9777
(786) 621-9601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME100281
FL
208000000X
Pediatrics Physician
ME 100281
FL
208D00000X
General Practice Physician
Primary
ME100281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013332701
—
FL
05
—
013840000
—
FL
Enumeration date
08/31/2006
Last updated
01/07/2026
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