Organization
SOUTH FLORIDA MENTAL HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL RIVERO JR. (APRN, PMHNP-BC)
(786) 389-2691
Entity
Organization
Contact information
Practice address
8765 NW 110TH ST, HIALEAH GARDENS, FL 33018-4510
(786) 389-2691
Mailing address
8765 NW 110TH ST, HIALEAH GARDENS, FL 33018-4510
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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