Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APRN9259555 | FL |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9259555 | FL |
NPI | 1003262353 |
---|---|
Provider Name | Arelis M Rivera |
First Address | Atlanta, GA 30374-3144 |
Second Address | Miami, FL 33176-2118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2016 |
Last Update Date | 16/02/2021 |