Provider Demographics
NPI:1760242994
Name:RIVERO, DIANA GABRIELA (MSW)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:GABRIELA
Last Name:RIVERO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9731 NW 44TH TER
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-3368
Mailing Address - Country:US
Mailing Address - Phone:786-817-0913
Mailing Address - Fax:
Practice Address - Street 1:9731 NW 44TH TER
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-3368
Practice Address - Country:US
Practice Address - Phone:786-817-0913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty