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Contact Information

MICHAEL A RIVERA, DPM
601 N FLAMINGO RD STE 414
PEMBROKE PINES, FL33028-1012
 Phone: 954-888-1444
 Fax: 954-392-5990
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MICHAEL A RIVERA · (Male)

NPI Number 1528079787
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/11/2006
Last updated 02/17/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PO2499
  • FL Medicaid 390271400
Hospital affiliation(s)
  • MEMORIAL HOSPITAL WEST - (Acute Care)
    703 N FLAMINGO RD
    PEMBROKE PINES, FL 33028
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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