Individual
VICTOR JUAN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4170 TOWN CTR BLVD STE 102, ORLANDO, FL 32837-5875
(407) 857-2817
(407) 857-0234
Mailing address
308 W BASS ST, KISSIMMEE, FL 34741-5001
(407) 483-8801
(407) 483-1298
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
19320
PR
208D00000X
General Practice Physician
Primary
ACN1144
FL
Other
Enumeration date
04/15/2016
Last updated
07/23/2024
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