Individual
JOSE RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20241 SW 127TH AVE, MIAMI, FL 33177-5119
(305) 256-1617
Mailing address
13224 SW 212TH ST, MIAMI, FL 33177-7499
(305) 331-5314
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT21219
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT21219
LICENSE #
FL
Enumeration date
08/29/2006
Last updated
05/29/2025
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