Provider Demographics
NPI:1306862016
Name:REXACH-RIVERA, MARIA H (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:H
Last Name:REXACH-RIVERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2716 SPICEBUSH LOOP
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-6430
Mailing Address - Country:US
Mailing Address - Phone:407-358-9953
Mailing Address - Fax:
Practice Address - Street 1:711 W MAIN ST
Practice Address - Street 2:VETERANS ADMINISTRATION CLINIC
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-5128
Practice Address - Country:US
Practice Address - Phone:352-435-4000
Practice Address - Fax:352-435-4015
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5729207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine