Doctor Name: | JESUS H RIVAS |
NPI Number: | 1659651875 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMA |
License Number: | MA 61994 |
Business Practice Address: | 5168 Sw 4th St Coral Gables, FL - 331341257 |
Business Phone Number: | 7862263942 |
Business Fax Number: | |
Mailing Address: | 7001 W 35th Ave Unit 245, HIALEAH |
State: | FL |
Postal Code: | 330187132 |
Phone Number: | 7864439628 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2011 |
NPI Last Update Date: | 09/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA 61994 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |