Organization
REYNALDO RIVERA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. REYNALDO RIVERA NEYRA (SURGICAL ASSISTANT)
(786) 219-9622
Entity
Organization
Contact information
Practice address
25207 BRIGHT HOLLOW LN, KATY, TX 77494-2991
(786) 219-9622
Mailing address
25207 BRIGHT HOLLOW LN, KATY, TX 77494-2991
(786) 219-9622
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
12-146
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-146
246ZC0007X
FL
Enumeration date
01/25/2013
Last updated
01/25/2013
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