Individual
DR. ORLANDO L RIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13306 SW 128TH ST, MIAMI, FL 33186-5899
(305) 424-9060
Mailing address
15868 SW 136TH WAY, MIAMI, FL 33196-1818
(305) 793-2392
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
160643
FL
208D00000X
General Practice Physician
18304
PR
208D00000X
General Practice Physician
445
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109493000
—
FL
01
—
GN065X
MEDICARE
FL
Enumeration date
09/06/2011
Last updated
01/25/2023
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