Organization
JAIRO ERNESTO RIVEROS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAIRO ERNESTO RIVEROS L.P.N. (LICENCED PRACTICAL NURSE)
(786) 333-5433
Entity
Organization
Contact information
Practice address
8410 SW 150TH AVE APT 101, MIAMI, FL 33193-1419
(786) 333-5433
Mailing address
8410 SW 150TH AVE APT 101, MIAMI, FL 33193-1419
(786) 333-5433
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PN 5164421
FL
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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