Individual
DR. CARLOS ALBERTO RIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6705 S RED RD STE 522, SOUTH MIAMI, FL 33143-3649
(305) 444-1213
(305) 444-1216
Mailing address
6705 S RED RD STE 522, SOUTH MIAMI, FL 33143-3649
(305) 444-1213
(305) 444-1216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
101122
FL
207R00000X
Internal Medicine Physician
MT187382
PA
207R00000X
Internal Medicine Physician
TRN10774
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP621Y
MEDICARE PTAN
FL
Enumeration date
07/31/2007
Last updated
11/06/2013
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