Doctor Name: | KAREN RIVERA |
NPI Number: | 1619237153 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SI-1989 |
Business Practice Address: | 1166 Kane Concourse Suite 201 Bay Harbor Islands, FL - 331542000 |
Business Phone Number: | 3058661966 |
Business Fax Number: | |
Mailing Address: | 9364 Collins Ave, Apt 7 SURFSIDE |
State: | FL |
Postal Code: | 331542669 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/17/2012 |
NPI Last Update Date: | 05/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | SI-1989 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |