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Individual

LUIS EDUARDO RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3410 W 84TH ST STE 100, HIALEAH, FL 33018-4906
(954) 649-3573
Mailing address
1242 NW 137TH AVE, PEMBROKE PINES, FL 33028-2330
(954) 649-3573

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4628
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/26/2023
Last updated
07/10/2025
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