Individual
MIRIANDRA DE JESUS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(813) 591-4938
(813) 219-8035
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(813) 591-4938
(813) 219-8035
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME137420
FL
Other
Enumeration date
03/24/2015
Last updated
11/22/2022
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