Rivera, Angel M.
Rivera, Angel M. is an individual health care provider with primary practice located at 922 N Krome Ave , Homestead FL 33030-4409. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Rivera, Angel M. can be contacted via phone (786) 382-3507.Contact Information
Primary practice address
922 N Krome Ave
Homestead FL 33030-4409
Phone: (786) 382-3507
Fax: (786) 504-8070
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW 4114 | Florida |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | SW4114 | Florida |
Profile Details
NPI number | 1831128347 |
---|---|
LBN Legal business name | Rivera, Angel M. |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2006 |
Last updated | Sep 6th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831128347 | NPPES |
Florida | Other | 101YM0800X | TAXONOMY |
Florida | MEDICAID | 011062900 | TAXONOMY |
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