Riveron, Gilberto Antonio

Riveron, Gilberto Antonio is an individual health care provider with primary practice located at 24040 S Tamiami Trl Ste 202 , Bonita Springs FL 34134-7040. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Riveron, Gilberto Antonio can be contacted via phone (239) 624-7100.

Contact Information

Primary practice address
24040 S Tamiami Trl Ste 202 Bonita Springs FL 34134-7040
Phone: (239) 624-7100
Fax: (239) 624-7101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME102752 Florida
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X TRN10317 Florida

Profile Details

NPI number 1124275896
LBN Legal business name Riveron, Gilberto Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2008
Last updated Mar 10th, 2020 - about 4 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 1124275896 NPPES
Florida Other 145S5 BCBS
Florida MEDICAID 001215000 BCBS

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