Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OS13408 | FL |
N | 111NI0900X | Internist | OS13408 | FL |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | OS13408 | FL |
NPI | 1407205214 |
---|---|
Provider Name | Dr. Nina Thakkar Rivera |
First Address | Fort Lauderdale, FL 33312-7591 |
Second Address | Miami, FL 33136-1101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2016 |
Last Update Date | 30/08/2019 |