Provider Demographics
NPI:1437545571
Name:RIVERA, CLAUDIA MARCELA (MLS)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:MARCELA
Last Name:RIVERA
Suffix:
Gender:F
Credentials:MLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 WHITESTONE CIR
Mailing Address - Street 2:UNIT 302
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-7743
Mailing Address - Country:US
Mailing Address - Phone:407-616-6432
Mailing Address - Fax:
Practice Address - Street 1:3301 WHITESTONE CIR
Practice Address - Street 2:UNIT 302
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-7743
Practice Address - Country:US
Practice Address - Phone:407-616-6432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTN45102246RM2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory