Provider Demographics
NPI:1720269681
Name:RIVERA, VENUS REBECCA (MD)
Entity Type:Individual
Prefix:DR
First Name:VENUS
Middle Name:REBECCA
Last Name:RIVERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 SW 87TH AVE
Mailing Address - Street 2:A110
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3570
Mailing Address - Country:US
Mailing Address - Phone:305-596-2828
Mailing Address - Fax:305-596-6446
Practice Address - Street 1:7800 SW 87TH AVE
Practice Address - Street 2:A110
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3570
Practice Address - Country:US
Practice Address - Phone:305-596-2828
Practice Address - Fax:305-596-6446
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0067448207XX0004X
FLME104101207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery