Individual
DR. MICHAEL A RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
601 N FLAMINGO RD STE 414, PEMBROKE PINES, FL 33028-1012
(954) 888-1444
(954) 392-5990
Mailing address
8200 NW 27 ST, STE 108, DORAL, FL 33122-1906
(786) 662-3893
(786) 662-3899
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390271400
—
FL
Enumeration date
08/11/2006
Last updated
02/17/2020
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