Individual
JESUS H RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMA
Contact information
Practice address
5168 SW 4TH ST, CORAL GABLES, FL 33134-1257
(786) 226-3942
Mailing address
7001 W 35TH AVE UNIT 245, HIALEAH, FL 33018-7132
(786) 443-9628
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 61994
FL
Other
Enumeration date
08/18/2011
Last updated
09/26/2011
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