Individual
NICOLAS CARDENAS RIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13734 SW 56TH ST, MIAMI, FL 33175-6020
(305) 387-7211
(305) 382-2708
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(305) 387-7211
(305) 382-2708
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME139144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104693800
—
FL
Enumeration date
11/05/2019
Last updated
12/04/2019
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