Angel Luis Rivera

NPI #1992411805 in Kissimmee, Florida

Provider Information

NPI Number: 1992411805
Entity Type: Individual
Name: Angel Luis Rivera
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Enumeration Date: Jan 24, 2023
Last Updated: Mar 27, 2023

Practice Location

Address: 216 BROADWAY
City: Kissimmee
State: Florida
ZIP Code: 34741-5768
Phone: (407) 910-4040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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