Individual
ROGER RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
22 W MONUMENT AVE STE 29, KISSIMMEE, FL 34741-5192
(407) 753-1500
Mailing address
22 W MONUMENT AVE STE 29, KISSIMMEE, FL 34741-5192
(407) 753-1500
(321) 710-1767
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9484520
FL
363LF0000X
Family Nurse Practitioner
RN10457546
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9484520
FL
Other
Enumeration date
01/12/2018
Last updated
02/20/2025
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