Rivera, Juan R

Rivera, Juan R is an individual health care provider with primary practice located at 500 E Central Ave Bond Clinic, P.A., Winter Haven FL 33880-3053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rivera, Juan R can be contacted via phone (863) 293-1191.

Contact Information

Primary practice address
500 E Central Ave Bond Clinic, P.A. Winter Haven FL 33880-3053
Phone: (863) 293-1191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME-82507 Florida

Profile Details

NPI number 1780682047
LBN Legal business name Rivera, Juan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jun 7th, 2010 - about 16 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 1780682047 NPPES
Florida MEDICAID 26220341-00

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