Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | ACN478 | FL |
N | 208D00000X | General Practice Physician | 18,032 | PR |
Y | 208D00000X | General Practice Physician | ACN478 | FL |
NPI | 1033428305 |
---|---|
Provider Name | Dr. Aleydis Rivera Onitiri |
First Address | Winter Garden, FL 34787-3546 |
Second Address | Winter Garden, FL 34787 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2010 |
Last Update Date | 08/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009512200 | (05) | FL |