Dr Pedro D Rivera Morillo, MD | |
1586 Branan Field Rd, Middleburg, FL 32068-8427 | |
(904) 282-8000 | |
(904) 282-8044 |
Full Name | Dr Pedro D Rivera Morillo |
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Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 1586 Branan Field Rd, Middleburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902800691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 6598 (Puerto Rico) | Primary |
Entity Name | Florida Department Of Children And Families |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710945118 PECOS PAC ID: 5092613570 Enrollment ID: O20031222000351 |
Entity Name | Conviva Medical Center Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
Mailing Address | Practice Location Address |
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Dr Pedro D Rivera Morillo, MD 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Dr Pedro D Rivera Morillo, MD 1586 Branan Field Rd, Middleburg, FL 32068-8427 Ph: (904) 282-8000 |
Maria Elana Mora, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3839 County Road 218, Middleburg, FL 32068 Phone: 904-861-1034 Fax: 904-861-1037 | |
Maya Schueller Cantu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1658 St Vincents Way Ste 320, Middleburg, FL 32068 Phone: 352-273-9001 |