Individual
RAUDEL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 W 49TH ST STE 310, HIALEAH, FL 33012-3435
(786) 313-3135
Mailing address
900 W 49TH ST STE 310, HIALEAH, FL 33012-3435
(786) 313-3135
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
FL
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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