Individual
ENRIQUE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4351 CORTEZ RD W STE 200, BRADENTON, FL 34210-3217
(941) 345-1950
(941) 345-1951
Mailing address
PO BOX 850001 DEPT 217, ORLANDO, FL 32885-0217
(941) 345-1950
(941) 345-1951
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME79810
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME79810
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260550300
—
FL
01
—
58025
BCBS
FL
Enumeration date
09/30/2005
Last updated
01/26/2023
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