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Provider Information for 1497062186

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. JOEL RIVERA-RODRIGUEZ M.D.

Other Name:   JOE RIVERA
Gender: MALE

Individual NPI: 1497062186

Calendar   Last Updated:  2021-09-01
  Certification Date:  2021-09-01

Details

Name Value
NPI 1497062186
Enumeration Date 2010-09-02
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1100 S FORT HARRISON AVE
CLEARWATER, FL 33756-3908
United States

Phone: 727-447-5454 | Fax: 727-287-4564
View Map External Link
Primary Practice Address 1100 S FORT HARRISON AVE
CLEARWATER, FL 33756-3908
United States

Phone: 727-447-5454 | Fax: 727-287-4564
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 017235400
Other TEXAS MEDICAL BOARD TX P8180
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207R00000X - Internal Medicine FL ME127224
No 207R00000X - Internal Medicine TX P8180