| Rivera Primary Care Inc | |
|
295 Patterson Rd Ste 103 Haines City FL 33844-6247 | |
| (407) 966-4222 | |
| Not Available |
| Full Name | Rivera Primary Care Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 295 Patterson Rd Ste 103, Haines City, Florida |
| Authorized Official Name and Position | Jose S Rivera Irizarry (CEO) |
| Authorized Official Contact | 8636575557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivera Primary Care Inc Po Box 580730 Kissimmee FL 34758-0010 Ph: () - | Rivera Primary Care Inc 295 Patterson Rd Ste 103 Haines City FL 33844-6247 Ph: (407) 966-4222 |
| NPI Number | 1144053604 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144053604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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