Individual
MR. CARLOS ALFONSO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COUNSELOR
Contact information
Practice address
2643 SW 187TH AVE, MIRAMAR, FL 33029-2440
(954) 662-1806
Mailing address
2643 SW 187TH AVE, MIRAMAR, FL 33029-2440
(954) 662-1806
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAADC-05-20-1473
PR
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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