Doctor Name: | DR. JULIUS PEREGRINO RIVERA |
NPI Number: | 1528319530 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 01025525A |
Business Practice Address: | 5264 N. Cimarron Drive Beverly Hills, FL - 34465 |
Business Phone Number: | 3522703462 |
Business Fax Number: | 3522703518 |
Mailing Address: | 5264 N. Cimarron Drive, BEVERLY HILLS |
State: | FL |
Postal Code: | 34465 |
Phone Number: | 3522703462 |
Fax Number: | 3522703518 |
NPI Enumeration Date: | 10/01/2012 |
NPI Last Update Date: | 10/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01025525A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |