Individual
MRS. ALICIA RIVERA MIRABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10200 NW 25TH ST STE 114, DORAL, FL 33172-5919
(305) 594-6505
(305) 594-6591
Mailing address
2130 SW 143RD PL, MIAMI, FL 33175, MIAMI, FL 33175-8027
(305) 331-2965
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME86920
FL
Other
Enumeration date
05/15/2007
Last updated
06/29/2011
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