Individual
DR. HENRY R. RIVERA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP, AOCNP
Contact information
Practice address
11626 NEWELL DR, PORT RICHEY, FL 34668-1541
(813) 969-0104
Mailing address
11626 NEWELL DR, PORT RICHEY, FL 34668-1541
(813) 969-0104
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9177520
FL
Other
Enumeration date
02/03/2007
Last updated
11/23/2022
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