Individual
MS. LISSETTE JOSEPHINE RIVERA-JORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD/N
Contact information
Practice address
4441 SW 160 COURT, MIAMI, FL 33185-4938
(305) 226-3081
(305) 226-1631
Mailing address
4441 SW 160 COURT, MIAMI, FL 33185-4938
(305) 226-3081
(305) 226-1631
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
ND 3813
FL
133V00000X
Registered Dietitian
ND 3813
FL
133VN1005X
Renal Nutrition Registered Dietitian
Primary
ND3813
FL
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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