Organization
NIVEA R RIBAS M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIVEA R RIBAS (M D P A)
(305) 826-3931
Entity
Organization
Contact information
Practice address
5801 NW 151ST ST, STE 206, MIAMI LAKES, FL 33014-2437
(305) 826-3931
(305) 826-5102
Mailing address
5801 NW 151ST ST, STE 206, MIAMI LAKES, FL 33014-2437
(305) 826-3931
(305) 826-5102
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0064461
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262443500
—
FL
01
—
38524
BCBS GROUP #
FL
01
—
DB1607
PALMETTO GBA
FL
Enumeration date
04/11/2006
Last updated
06/11/2008
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