Organization
MIGUEL RIVERA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN J DEGIROLAMO (BILLING MANAGER)
(941) 751-6583
Entity
Organization
Contact information
Practice address
2043 ROSE ST, SARASOTA, FL 34239-5223
(941) 366-9450
(941) 366-9459
Mailing address
2043 ROSE ST, SARASOTA, FL 34239-5223
(941) 366-9450
(941) 366-9459
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME76952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264551300
—
FL
Enumeration date
06/07/2006
Last updated
03/25/2011
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