Rivera, Juan J

Rivera, Juan J is an individual health care provider with primary practice located at 2835 W De Leon St Suite 101, Tampa FL 33609-4168. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Rivera, Juan J can be contacted via phone (813) 254-6592.

Contact Information

Primary practice address
2835 W De Leon St Suite 101 Tampa FL 33609-4168
Phone: (813) 254-6592
Fax: (813) 254-3634
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2416 Florida

Profile Details

NPI number 1003893538
LBN Legal business name Rivera, Juan J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Aug 30th, 2011 - about 15 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 1003893538 NPPES
Florida Other 2700454 UNITED HEALTHCARE
Florida Other 65329 UNITED HEALTHCARE

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