Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | ME120099 | FL |
N | 207VG0400X | Gynecologist | 120099 | FL |
Y | 207VX0000X | Obstetrician | 120099 | FL |
NPI | 1427131200 |
---|---|
Provider Name | Dr. Malieri Colon-Rivera |
First Address | Palmetto, FL 34221-4737 |
Second Address | Spring Hill, FL 34609-2466 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 09/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13947900 | (05) | FL |