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Individual

MR. GILBERTO RIVERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
11811 SW 18TH ST APT 5, MIAMI, FL 33175-1666
(786) 320-1859
Mailing address
11811 SW 18 STREET, 5, MIAMI, FL 33175
(786) 320-1859

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61594
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32
MASSAGE THERAPIST
Enumeration date
03/10/2011
Last updated
03/10/2011
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