Rivera, Juan I

Rivera, Juan I is an individual health care provider with primary practice located at 315 E Olympia Ave #111, Punta Gorda FL 33950-3831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rivera, Juan I can be contacted via phone (941) 205-2600.

Contact Information

Primary practice address
315 E Olympia Ave #111 Punta Gorda FL 33950-3831
Phone: (941) 205-2600
Fax: (941) 205-2601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MA046778 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME050857 Florida

Profile Details

NPI number 1275521023
LBN Legal business name Rivera, Juan I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Sep 16th, 2021 - about 3 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 1275521023 NPPES
Florida MEDICAID 072052600
Florida Other 04080

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