NPI 1003893538

Juan J Rivera, DPM

Practitioner Podiatrist Tampa, FL

Practice location

Address: 2835 W de Leon St Suite 101, Tampa, FL 33609-4168
Phone: (813) 254-6592
Fax: (813) 254-3634

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence PO2416 (FL)

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Registry record

NPI: 1003893538
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Dec 2005
Record last updated: 30 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.