Doctor Name: | RAMON LUIS RIVERA-OLIVIERI |
NPI Number: | 1396946828 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME 82720 |
Business Practice Address: | 180 Sw 84th Ave Suite B. Plantation, FL - 333242731 |
Business Phone Number: | 9544249300 |
Business Fax Number: | 9544243315 |
Mailing Address: | 7601 Nw 42nd Pl, Apt 101 SUNRISE |
State: | FL |
Postal Code: | 333516252 |
Phone Number: | 9547700339 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 07/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME 82720 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |