NPI Profile for DR JOSE A RIVERA LLC in MAITLAND, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X | |||
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1649881434 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/14/2020 | |
| Last updated | 05/14/2026 - About 3 weeks ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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DR JOSE A RIVERA LLC
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