Provider Demographics
NPI:1972732840
Name:RIVERA-BUSCAGLIA, DANIEL (M D)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:RIVERA-BUSCAGLIA
Suffix:
Gender:M
Credentials:M D
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 STE 830
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-4558
Mailing Address - Country:US
Mailing Address - Phone:305-532-0065
Mailing Address - Fax:305-532-9793
Practice Address - Street 1:4308 ALTON RD STE 830
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-4558
Practice Address - Country:US
Practice Address - Phone:305-532-0065
Practice Address - Fax:305-532-9793
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1254472081P2900X
FLME1193442081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine