Rivera, Angel M.

Rivera, Angel M. is an individual health care provider with primary practice located at 922 N Krome Ave , Homestead FL 33030-4409. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Rivera, Angel M. can be contacted via phone (786) 382-3507.

Contact Information

Primary practice address
922 N Krome Ave Homestead FL 33030-4409
Phone: (786) 382-3507
Fax: (786) 504-8070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 4114 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW4114 Florida

Profile Details

NPI number 1831128347
LBN Legal business name Rivera, Angel M.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Sep 6th, 2016 - about 10 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 1831128347 NPPES
Florida Other 101YM0800X TAXONOMY
Florida MEDICAID 011062900 TAXONOMY

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