Doctor Name: | BRENDA RIVERA |
NPI Number: | 1023464724 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN9295878 |
Business Practice Address: | 18800 Ne 29th Ave Apt 511 Aventura, FL - 331802829 |
Business Phone Number: | 9549804673 |
Business Fax Number: | |
Mailing Address: | 18800 Ne 29th Ave Apt 511, AVENTURA |
State: | FL |
Postal Code: | 331802829 |
Phone Number: | 9549804673 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2016 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | RN9295878 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |