Individual
DR. ABRAHAM RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4730 N HABANA AVE STE 104, TAMPA, FL 33614-7165
(813) 549-2134
Mailing address
501 N REO ST STE 100, TAMPA, FL 33609-1012
(813) 549-2134
(813) 864-4436
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G162881
CA
207L00000X
Anesthesiology Physician
ME93446
FL
208VP0000X
Pain Medicine Physician
Primary
G162881
CA
208VP0000X
Pain Medicine Physician
ME93446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274485600
—
FL
01
—
P01099802
R&R MEDICARE
FL
Enumeration date
07/18/2006
Last updated
11/12/2025
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