Juan I Rivera

LBN: Juan I Rivera
Juan I Rivera is an health care organization with primary practice located at 315 E Olympia Ave 111, Punta Gorda FL 33950-3833. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Juan I Rivera can be contacted via phone (941) 639-1640, or through Rivera, Juan I via phone (941) 639-1640.

Contact Information

Primary practice address
315 E Olympia Ave 111 Punta Gorda FL 33950-3833
Phone: (941) 639-1640
Fax: (941) 637-9808
Website:
Map and Directions
Authorized official contact:
Name: Rivera, Juan I Doctor of Medicine (MD)
Phone: (941) 639-1640

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME050857 Florida

Profile Details

NPI number 1396935037
LBN Legal business name Juan I Rivera
DBA Doing business as
Authorized official Rivera, Juan I Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2007
Last updated Jan 14th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396935037 NPPES
Florida MEDICAID 072052600

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