Individual
ELBA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6900 S ORANGE BLOSSOM TRL, #402, ORLANDO, FL 32809-5745
(407) 382-9079
(407) 964-1274
Mailing address
1222 CONLEY ST, ORLANDO, FL 32805-3116
(321) 297-7098
(407) 964-1274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/31/2014
Last updated
10/28/2015
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