| Doctor Name: | MR. VINCENT JOSEPH RIVAS |
| NPI Number: | 1831407683 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRT |
| License Number: | TT4707 |
| Business Practice Address: | 10 Marsue Dr Crawfordville, FL - 323272660 |
| Business Phone Number: | 8509265516 |
| Business Fax Number: | |
| Mailing Address: | 10 Marsue Dr, CRAWFORDVILLE |
| State: | FL |
| Postal Code: | 323272660 |
| Phone Number: | 8509265516 |
| Fax Number: | |
| NPI Enumeration Date: | 09/15/2010 |
| NPI Last Update Date: | 09/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2278P3900X |
| License Number: | TT4707 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Respiratory Therapist, Certified |
| Taxonomy Specialization: | Neonatal/Pediatrics |
| Taxonomy Definition: | The care and treatment of premature infants, newborns and children. This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments. |