Rivera, Mario N
Rivera, Mario N is an sole proprietor health care provider with primary practice located at 232 N Orange Blossom Trl , Orlando FL 32805-1612. He recently has only one registered license in Dental Providers / Dental Laboratory Technician, which is considered as his primary health care specialty. Rivera, Mario N can be contacted via phone (407) 428-1672.Contact Information
Primary practice address
232 N Orange Blossom Trl
Orlando FL 32805-1612
Phone: (407) 428-1672
Fax: (407) 481-8638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Laboratory Technician | 126900000X | DR125576 | Florida |
Profile Details
| NPI number | 1477698215 |
|---|---|
| LBN Legal business name | Rivera, Mario N |
| Credentials | D.R. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477698215 | NPPES |
| Florida | Other | DR 125576 | DENTAL RADIOGRAPHER |
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