Individual
LUIS RODRIGUEZ-RIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11100 SUMMER RIDGE LANE, FORT MYERS, FL 33908-4064
(239) 344-2389
Mailing address
PO BOX 919771, ORLANDO, FL 32891-9771
(239) 278-3600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016887000
—
FL
Enumeration date
11/20/2015
Last updated
09/08/2021
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