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Organization

CARLOS E RIVERA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLOS E RIVERA M.D. (PHYSICIAN)
(305) 220-5191
Entity
Organization

Contact information

Practice address
8260 W FLAGLER ST, 1-H, MIAMI, FL 33144-2069
(305) 220-5191
(305) 220-9065
Mailing address
8260 W FLAGLER ST, 1-H, MIAMI, FL 33144-2069
(305) 220-5191
(305) 220-9065

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
ME0053431
FL

Other

Enumeration date
03/31/2011
Last updated
03/31/2011
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