Individual
DORIS NYDIA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3800 W BROWARD BLVD STE 100, FT LAUDERDALE, FL 33312-1018
(813) 443-4827
Mailing address
3873 KITTY HAWK AVE, ORLANDO, FL 32808-2721
(407) 850-8689
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM101730
FL
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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