Individual
JOSE L RIVERA MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 355-4400
(919) 425-0478
Mailing address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 355-4400
(919) 425-0478
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
117768
FL
207P00000X
Emergency Medicine Physician
17951
PR
208D00000X
General Practice Physician
17951
PR
Other
Enumeration date
08/28/2007
Last updated
01/25/2019
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