Guillermo Rivera, is a
Case Manager/care Coordinator based in Davenport, Florida. Guillermo Rivera is licensed to practice in Florida (license number CBHCM102678) and his current practice location is
130 Claire Ln, Davenport, Florida. He can be reached at his office (for appointments etc.) via phone at
(407) 989-3834.
NPI number for Guillermo Rivera is 1528416625 and his current mailing address is 130 Claire Ln, Davenport, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528416625.
Healthcare Provider's Profile
| Full Name | Guillermo Rivera |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 130 Claire Ln, Davenport, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1528416625
- Provider Enumeration Date: 05/31/2016
- Last Update Date: 02/15/2022
Medical Identifiers
Medical identifiers for Guillermo Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528416625 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (Florida) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | CBHCM102678 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Guillermo Rivera is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Guillermo Rivera,
130 Claire Ln,
Davenport, FL 33837-3207
Ph: (407) 989-3834 | Guillermo Rivera,
130 Claire Ln,
Davenport, FL 33837-3207
Ph: (407) 989-3834 |
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