Individual
MS. MADELAYNE RIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1649 ELLSBERG CT APT 1, KEY WEST, FL 33040-4431
(786) 738-3423
Mailing address
1649 ELLSBERG CT APT 1, KEY WEST, FL 33040-4431
(786) 738-3423
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222Q00000X
—
FL
Enumeration date
01/07/2015
Last updated
01/07/2015
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