Rivera, Luis R

Rivera, Luis R is an individual health care provider with primary practice located at 11501 Sw 40Th St , Miami FL 33165-3313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Rivera, Luis R can be contacted via phone (305) 642-5366.

Contact Information

Primary practice address
11501 Sw 40Th St Miami FL 33165-3313
Phone: (305) 642-5366
Fax: (305) 631-3828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X G0526 Texas
Allopathic & Osteopathic Physicians / Urology 208800000X ME109084 Florida

Profile Details

NPI number 1780664177
LBN Legal business name Rivera, Luis R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Nov 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780664177 NPPES
Texas MEDICAID 117315502

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