Provider Demographics
NPI:1275650913
Name:RIVES, DIGNORA (DDS)
Entity Type:Individual
Prefix:DR
First Name:DIGNORA
Middle Name:
Last Name:RIVES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11760 SW 40TH ST STE 317
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3589
Mailing Address - Country:US
Mailing Address - Phone:305-552-0521
Mailing Address - Fax:305-552-8390
Practice Address - Street 1:11760 SW 40TH ST STE 317
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3589
Practice Address - Country:US
Practice Address - Phone:305-552-0521
Practice Address - Fax:305-552-8390
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN123581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice