Organization
ROGER RIVERA NP PLLC
Active
Other names
Mente Suave Psychiatry & Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER RIVERA APRN (CEO)
(407) 753-1500
Entity
Organization
Contact information
Practice address
3495 W VINE ST, KISSIMMEE, FL 34741-4668
(407) 753-1500
(321) 710-1767
Mailing address
3495 W VINE ST, KISSIMMEE, FL 34741-4668
(407) 753-1500
(321) 710-1767
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
05/10/2023
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