Provider Demographics
NPI:1407247737
Name:ELVIRA J. RIVES MD PA
Entity Type:Organization
Organization Name:ELVIRA J. RIVES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ELVIRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:RIVES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-821-8861
Mailing Address - Street 1:14505 COMMERCE WAY
Mailing Address - Street 2:SUITE 800
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1597
Mailing Address - Country:US
Mailing Address - Phone:305-821-8861
Mailing Address - Fax:305-821-8783
Practice Address - Street 1:14505 COMMERCE WAY
Practice Address - Street 2:SUITE 800
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1597
Practice Address - Country:US
Practice Address - Phone:305-821-8861
Practice Address - Fax:305-821-8783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME73603208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty