Individual
DR. ALBA DAMARIS RIVERA-DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, LND
Contact information
Practice address
1876 NIGHTINGALE LN, TAVARES, FL 32778-4359
(352) 742-4447
(352) 742-4447
Mailing address
770 W GRANADA BLVD STE 101, ORMOND BEACH, FL 32174-5179
(386) 231-4746
(386) 368-8927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21814
PR
207R00000X
Internal Medicine Physician
ME163967
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME163967
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME163967
FL
Other
Enumeration date
05/19/2009
Last updated
04/01/2026
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