Individual
DIEGO ALEXANDER RIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7000
Mailing address
6860 30TH AVE N, SAINT PETERSBURG, FL 33710-3002
(352) 260-2226
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
29727
WV
207P00000X
Emergency Medicine Physician
MD470775
PA
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
ME138836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105193900
—
FL
01
—
WHLWQ
BCBS
FL
Enumeration date
03/30/2017
Last updated
11/04/2024
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