Provider Demographics
NPI:1982668323
Name:RIVERO, ARMANDO J (MD)
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:J
Last Name:RIVERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9951 BIRD RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3989
Mailing Address - Country:US
Mailing Address - Phone:305-552-5350
Mailing Address - Fax:305-220-5602
Practice Address - Street 1:9951 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3989
Practice Address - Country:US
Practice Address - Phone:305-552-5350
Practice Address - Fax:305-220-5602
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0066744208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL377112100Medicaid
FL377112100Medicaid