Rivera, Michael A

Rivera, Michael A is an individual health care provider with primary practice located at 601 N Flamingo Rd Ste 414 , Pembroke Pines FL 33028-1012. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Rivera, Michael A can be contacted via phone (954) 888-1444.

Contact Information

Primary practice address
601 N Flamingo Rd Ste 414 Pembroke Pines FL 33028-1012
Phone: (954) 888-1444
Fax: (954) 392-5990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO2499 Florida

Profile Details

NPI number 1528079787
LBN Legal business name Rivera, Michael A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Feb 17th, 2020 - about 5 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 1528079787 NPPES
Florida MEDICAID 390271400

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