Individual
DR. LUIS R RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11501 SW 40TH ST, MIAMI, FL 33165-3313
(305) 642-5366
(305) 631-3828
Mailing address
8600 NW 41ST ST, DORAL, FL 33166-6202
(305) 642-5366
(305) 631-3828
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
G0526
TX
208800000X
Urology Physician
Primary
ME109084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117315502
—
TX
Enumeration date
01/20/2006
Last updated
11/16/2016
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