Provider Demographics
NPI:1457465825
Name:RIVERA, FRANZ E (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANZ
Middle Name:E
Last Name:RIVERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4308 ALTON RD
Mailing Address - Street 2:#790
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-4556
Mailing Address - Country:US
Mailing Address - Phone:305-673-9270
Mailing Address - Fax:305-538-0057
Practice Address - Street 1:4308 ALTON RD
Practice Address - Street 2:#790
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-4556
Practice Address - Country:US
Practice Address - Phone:305-673-9270
Practice Address - Fax:305-538-0057
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87961207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH91877Medicare UPIN
FL71022YMedicare ID - Type Unspecified