Provider Demographics
NPI:1013519313
Name:RIVERA, ELIZABETH DE LA CARIDAD (DC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:DE LA CARIDAD
Last Name:RIVERA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6005 MAUSSER DR APT 2E
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-2928
Mailing Address - Country:US
Mailing Address - Phone:386-235-6822
Mailing Address - Fax:
Practice Address - Street 1:6005 MAUSSER DR APT 2E
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-2928
Practice Address - Country:US
Practice Address - Phone:386-235-6822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13281111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor