ELVIRA J. RIVES MD PA
Medical Practice at Commerce Way, Hialeah, FL

License number
Florida ME73603
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. ELVIRA J RIVES M.D.
Title: PHYSICIAN
Phone: (305) 821-8861
Address
Address
14505 Commerce Way SUITE 800, Hialeah, FL 33016
National Provider ID: 1407247737
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ELVIRA J. RIVES, M.D., PA

14505 Commerce Way SUITE 800, Hialeah, FL 33016

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Feb 16, 2000
Inactive since:
Oct 24, 2001
State ID:
P00000016452
Business type:
Florida Profit Corporation
President, Secretary:
Elvira J Rives (President, Secretary), 14505 Commerce Way, Hialeah, FL 33016 (Physical)
Agent:
Rives, Elvira J, Md,14505 Commerce Way SUITE 800, Hialeah, FL 33016 (Physical)
EIN:
650982544

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