Individual
ELIZABETH CHARLENE RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(561) 254-2043
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6042
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
163892
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
08/02/2024
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