Individual
DR. RICARDO RIVERA-MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 CENTURY MEDICAL DR, SUITE A, TITUSVILLE, FL 32796-2151
(321) 269-5101
(321) 269-6871
Mailing address
800 CENTURY MEDICAL DR, SUITE A, TITUSVILLE, FL 32796-2151
(321) 269-5101
(321) 269-6871
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0070626
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193074
WELLCARE
FL
05
—
264637400
—
FL
01
—
3371883
AETNA
FL
01
—
58541
BCBS FLORIDA
FL
01
—
P00066127
MEDICARE RAILROAD
FL
Enumeration date
06/21/2005
Last updated
01/21/2014
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