Provider Demographics
NPI:1902419153
Name:RIVERO LOPEZ, YAMILET (ARNP)
Entity Type:Individual
Prefix:
First Name:YAMILET
Middle Name:
Last Name:RIVERO LOPEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3041 NW 103RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-1663
Mailing Address - Country:US
Mailing Address - Phone:786-310-9755
Mailing Address - Fax:
Practice Address - Street 1:705 E 26TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3823
Practice Address - Country:US
Practice Address - Phone:786-332-2922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-27
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9441120163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse