Individual
RICARDO RIVERA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
801 DOUGLAS AVE, SUITE 208, ALTAMONTE SPRINGS, FL 32714-5206
(321) 443-7191
Mailing address
12679 ENCLAVE DR, ORLANDO, FL 32837-6203
(321) 443-7191
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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