Rivera, Abraham
Rivera, Abraham is an individual health care provider with primary practice located at 4730 N Habana Ave Ste 104 , Tampa FL 33614-7165. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Rivera, Abraham can be contacted via phone (813) 549-2134.Contact Information
Primary practice address
4730 N Habana Ave Ste 104
Tampa FL 33614-7165
Phone: (813) 549-2134
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G162881 | California |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME93446 | Florida |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ME93446 | Florida |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | G162881 | California |
Profile Details
| NPI number | 1407875065 |
|---|---|
| LBN Legal business name | Rivera, Abraham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Nov 12th, 2025 - about last year |
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 | 1407875065 | NPPES |
| Florida | MEDICAID | 274485600 | |
| Florida | Other | P01099802 |
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