Provider Demographics
NPI:1477589950
Name:RIVERS, STEVEN J (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:J
Last Name:RIVERS
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1503 BUENOS AIRES BLVD
Mailing Address - Street 2:BLDG 110
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32159-6821
Mailing Address - Country:US
Mailing Address - Phone:352-205-4302
Mailing Address - Fax:352-430-0468
Practice Address - Street 1:1503 BUENOS AIRES BLVD
Practice Address - Street 2:BLDG 110
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-6821
Practice Address - Country:US
Practice Address - Phone:352-205-4302
Practice Address - Fax:352-430-0468
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2014-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME88231207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
5672594OtherFIRST HEALTH CCN
FL203566462OtherHUMANA
FLME88231OtherADVANTAGE CARE METCARE
52119OtherBLUE CROSS
FLME88231OtherADVANTAGE CARE METCARE
I16704Medicare UPIN
5672594OtherFIRST HEALTH CCN