Inesta Rivera, Jean Paul
Inesta Rivera, Jean Paul is an individual health care provider with primary practice located at 119 Oakfield Dr , Brandon FL 33511-5779. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Inesta Rivera, Jean Paul can be contacted via phone (813) 681-5551.Contact Information
Primary practice address
119 Oakfield Dr
Brandon FL 33511-5779
Phone: (813) 681-5551
Fax: (813) 916-2944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 22585 | Puerto Rico |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Florida | |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 5039722 | Puerto Rico |
Profile Details
| NPI number | 1356904072 |
|---|---|
| LBN Legal business name | Inesta Rivera, Jean Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2019 |
| Last updated | Dec 20th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356904072 | NPPES |
| Puerto Rico | Other | 22585 | MEDICAL LICENSE |
| Puerto Rico | Other | 5039722 | MEDICAL LICENSE |
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