Individual
NICOLE M RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12871 SW 135TH TER, MIAMI, FL 33186-6666
(305) 298-1432
(305) 233-9156
Mailing address
2450 FLAMINGO PL UNIT D, MIAMI BEACH, FL 33140-4375
(305) 298-1432
(305) 233-9156
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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