Agudelo-Rivera, Juan

Agudelo-Rivera, Juan is an individual health care provider with primary practice located at 180 Jfk Dr Ste 100 , Atlantis FL 33462-6641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Agudelo-Rivera, Juan can be contacted via phone (561) 967-6500.

Contact Information

Primary practice address
180 Jfk Dr Ste 100 Atlantis FL 33462-6641
Phone: (561) 967-6500
Fax: (561) 423-4687
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 47348 Colorado
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME107908 Florida

Profile Details

NPI number 1841346426
LBN Legal business name Agudelo-Rivera, Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Oct 20th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841346426 NPPES
Colorado MEDICAID 90607554

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