Individual
RAUL ANTONIO RIVERO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8416 CANTERBURY LAKE BLVD, TAMPA, FL 33619-6668
(305) 910-1700
Mailing address
8416 CANTERBURY LAKE BLVD, TAMPA, FL 33619-6668
(305) 910-1700
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5230489
FL
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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