Individual
BRYAN DURAN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1217 NW 1ST AVE, HOMESTEAD, FL 33030-4210
(786) 348-7426
Mailing address
1217 NW 1ST AVE, HOMESTEAD, FL 33030-4210
(786) 348-7426
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9120692
FL
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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