Individual
SANDRA RIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 S FEDERAL HWY STE 103, BOCA RATON, FL 33432-4938
(561) 347-2996
(561) 347-2998
Mailing address
233 S FEDERAL HWY STE 103, BOCA RATON, FL 33432-4938
(561) 347-2996
(561) 347-2998
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9107404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9107404
PHYSICIAN ASSISTANT
FL
Enumeration date
10/29/2013
Last updated
10/29/2013
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