Individual
DESIREE RIVERA-NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4040 SAWYER RD, SARASOTA, FL 34233-1272
(941) 960-1314
(941) 960-1394
Mailing address
2901 58TH AVE N, ST PETERSBURG, FL 33714-1326
(727) 895-3702
(727) 896-3828
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME134386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100065000
—
FL
Enumeration date
06/27/2011
Last updated
03/15/2021
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