Individual
DR. IVAN A RIVERA SOLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N DOVERPLUM AVE, KISSIMMEE, FL 34758-3308
(407) 572-8862
(407) 572-8863
Mailing address
51 N DOVERPLUM AVE, KISSIMMEE, FL 34758-3308
(407) 572-8862
(407) 572-8863
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
14883
PR
208D00000X
General Practice Physician
Primary
ACN241
FL
Other
Enumeration date
06/10/2007
Last updated
02/15/2017
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