Organization
DR JOSE A RIVERA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ARNALDO RIVERA DPM (PRESIDENT)
(251) 901-3011
Entity
Organization
Contact information
Practice address
850 CONCOURSE PKWY S STE 200, MAITLAND, FL 32751-6145
(251) 901-3011
Mailing address
PO BOX 8209, VIENNA, VA 22183-2058
(251) 901-3011
(833) 469-6349
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
08/14/2020
Last updated
05/14/2026
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