Individual
JORGE M RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
17901 NW 5TH ST STE 106, PEMBROKE PINES, FL 33029-2810
(954) 704-2888
(954) 704-0227
Mailing address
16909 N BAY RD APT 715, SUNNY ISLES BEACH, FL 33160-4226
(305) 528-8328
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 3219
FL
Other
Enumeration date
01/06/2007
Last updated
07/08/2007
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