Individual
DR. ANDREA VICTORIA RIVERA-SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827-7402
(787) 602-8372
Mailing address
1402 SOUTH GRAND BLVD, ROOM M260, SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE, GME OFFICE, SAINT LOUIS, MO 63104
(787) 602-8372
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2015019910
MO
208000000X
Pediatrics Physician
20600
PR
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
139034
FL
Other
Enumeration date
07/07/2010
Last updated
07/19/2019
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