Individual
EXGLIS MARIBEL RIVAS CRASTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
8800 NW 36TH ST APT 4604, DORAL, FL 33178-3493
(786) 301-8968
Mailing address
8800 NW 36TH ST APT 4604, DORAL, FL 33178-3493
(786) 301-8968
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
21-342
FL
363A00000X
Physician Assistant
Primary
3160-P.A.
PR
363AS0400X
Surgical Physician Assistant
3160-P.A.
PR
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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