Individual
GILBERTO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4107 N HIMES AVE STE 102, TAMPA, FL 33607-6645
(813) 933-5331
Mailing address
7009 N ARMENIA AVE, TAMPA, FL 33604-5252
(813) 933-5331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15856
FL
Other
Enumeration date
11/17/2014
Last updated
03/12/2020
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