Individual
DR. CANDIDO EDGARDO RIVERA-LINARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME84890
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13546
BLUECROSS/BLUESHIELD
FL
05
—
264171200
—
FL
01
—
830008407
RAILROAD MEDICARE
FL
Enumeration date
10/15/2005
Last updated
08/31/2020
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