Organization
TR PHYSICIANS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA RIVERO (OWNER)
(786) 540-2363
Entity
Organization
Contact information
Practice address
1140 W 50TH ST STE 207, HIALEAH, FL 33012-3438
(786) 540-2363
(305) 456-3070
Mailing address
1140 W 50TH ST STE 207, HIALEAH, FL 33012-3438
(786) 540-2363
(305) 456-3070
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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