Individual
CARLOS MANUEL RIVERO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
760 NW 107TH AVE STE 110A, MIAMI, FL 33172-3155
(786) 567-1710
Mailing address
840 SW 129TH PL APT 110, MIAMI, FL 33184-2117
(786) 567-1710
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
RN9484541
FL
363L00000X
Nurse Practitioner
Primary
11028085
FL
Other
Enumeration date
08/13/2019
Last updated
01/24/2024
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