Individual
DANIEL RIVERO DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 W CARROLL ST, KISSIMMEE, FL 34741-1268
(407) 518-0078
(407) 518-0094
Mailing address
8801 LAMBERT LN, ORLANDO, FL 32825-6355
(787) 344-1968
(787) 344-1968
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
13796
PR
208D00000X
General Practice Physician
Primary
ACN1626
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122679400
—
FL
Enumeration date
09/22/2006
Last updated
04/30/2025
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