Organization
RIVIERA TU COMIDA FAVORITA CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESTHER FUENTES (MANAGER)
(786) 218-1077
Entity
Organization
Contact information
Practice address
3138 CORAL WAY, MIAMI, FL 33145
(786) 218-1077
Mailing address
3138 CORAL WAY, MIAMI, FL 33145
(786) 218-1077
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
SEA2334360
FL
Other
Enumeration date
05/30/2018
Last updated
08/17/2018
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