Rivero, Evaristo Enrique

Rivero, Evaristo Enrique is an sole proprietor health care provider with primary practice located at 230 E Interlake Blvd , Lake Placid FL 33852-9603. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Rivero, Evaristo Enrique can be contacted via phone (863) 699-6001.

Contact Information

Primary practice address
230 E Interlake Blvd Lake Placid FL 33852-9603
Phone: (863) 699-6001
Fax: (863) 699-6002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO 2506 Florida

Profile Details

NPI number 1043211691
LBN Legal business name Rivero, Evaristo Enrique
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2005
Last updated Jul 13th, 2010 - about 15 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 1043211691 NPPES
Florida MEDICAID 390277300

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