Individual
MR. LEONARDO DANIEL RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8181 NW 36TH ST, DORAL, FL 33166-6671
(305) 591-4181
Mailing address
12904 SW 51ST ST, MIAMI, FL 33175-5316
(786) 566-1222
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14106
FL
Other
Enumeration date
06/24/2017
Last updated
06/24/2017
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