Individual
DR. JOSE AUGUSTO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., M.A.
Contact information
Practice address
2523 US HIGHWAY 27 S, SUITE 130, AVON PARK, FL 33825-9690
(863) 452-0710
(863) 452-0142
Mailing address
2523 US HIGHWAY 27 S, SUITE 130, AVON PARK, FL 33825-9690
(863) 452-0710
(863) 452-0142
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/26/2011
Last updated
07/09/2013
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