Individual
MIGUEL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
652 BEACH RD, SARASOTA, FL 34242-1949
(941) 346-5554
Mailing address
652 BEACH RD, SARASOTA, FL 34242-1949
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME76952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264551300
—
FL
Enumeration date
12/12/2006
Last updated
07/09/2007
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