Individual
JAIME M RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
715 OAK COMMONS BLVD, KISSIMMEE, FL 34741-4213
(407) 518-1199
(407) 569-1201
Mailing address
PO BOX 423009, KISSIMMEE, FL 34742-3009
(407) 518-1199
(407) 569-1201
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0068454
FL
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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