| Doctor Name: | MRS. ALICIA RIVERA MIRABAL |
| NPI Number: | 1417163791 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | ME86920 |
| Business Practice Address: | 10200 Nw 25th St Ste 114 Doral, FL - 331725919 |
| Business Phone Number: | 3055946505 |
| Business Fax Number: | 3055946591 |
| Mailing Address: | 2130 Sw 143rd Pl, Miami, Fl 33175 MIAMI |
| State: | FL |
| Postal Code: | 331758027 |
| Phone Number: | 3053312965 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 06/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME86920 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |