Provider Demographics
NPI:1619267457
Name:DIGNA RIVA INC
Entity Type:Organization
Organization Name:DIGNA RIVA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DIGNA
Authorized Official - Middle Name:I
Authorized Official - Last Name:RIVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-758-7878
Mailing Address - Street 1:9838 NE 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-2313
Mailing Address - Country:US
Mailing Address - Phone:305-758-7878
Mailing Address - Fax:305-754-2574
Practice Address - Street 1:9838 NE 2ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-2313
Practice Address - Country:US
Practice Address - Phone:305-758-7878
Practice Address - Fax:305-754-2574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty