| Homero Rivero Md Pa | |
|
6741 Coral Way Ste 50 51 Miami FL 33155-1762 | |
| (305) 264-9767 | |
| (305) 264-9768 |
| Full Name | Homero Rivero Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6741 Coral Way, Miami, Florida |
| Authorized Official Name and Position | Homero Rivero (OWNER) |
| Authorized Official Contact | 3052649767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homero Rivero Md Pa 6741 Coral Way Ste 50 51 Miami FL 33155-1762 Ph: (305) 264-9767 | Homero Rivero Md Pa 6741 Coral Way Ste 50 51 Miami FL 33155-1762 Ph: (305) 264-9767 |
| NPI Number | 1821153776 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 07/30/2009 |
| Medicare PECOS PAC ID | 7113946765 |
|---|---|
| Medicare Enrollment ID | O20051114000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821153776 | NPI | - | NPPES |
| 30583 | Other | FL | BCBS |
| 272128700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Homero Rivero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275573495 PECOS PAC ID: 2860418332 Enrollment ID: I20051024000648 |
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