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Individual

CARLOS EDUARDO RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3625
(954) 696-2152
Mailing address
3307 NW 108TH DR APT 3, CORAL SPRINGS, FL 33065-3571
(954) 696-2152

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
208600000X
Surgery Physician
25988
FL
208D00000X
General Practice Physician
Primary
170657
FL

Other

Enumeration date
05/23/2022
Last updated
09/20/2024
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