Individual provider · NPI-1
Janice Rivera
Psychiatry & Neurology, Neurology · Ocoee, FL
NPI number1326604752
StatusActive
Last updated in NPPESJul 5, 2024
Details
- NPI
- 1326604752
- Entity type
- Individual (NPI-1)
- Name
- Janice Rivera
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2019
- Certification date
- Jul 5, 2024
- Last updated
- Jul 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | ME163953 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
10000 W Colonial Dr Ste 284Ocoee, FL 34761-3432
Phone 407-296-1910 · Fax 407-296-1909
Mailing address
10000 W Colonial Dr Ste 284Ocoee, FL 34761-3432
Phone 407-296-1910 · Fax 407-296-1909
Other practice locations
10301 Gateway Blvd W
El Paso, TX 79925-7701
El Paso, TX 79925-7701
Phone 915-595-9000
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