Provider Demographics
NPI:1144956004
Name:RIVAS, YUMI OREANA (DMD)
Entity type:Individual
Prefix:
First Name:YUMI
Middle Name:OREANA
Last Name:RIVAS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:YUMI
Other - Middle Name:OREANA
Other - Last Name:RIVAS QUINTERO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:388 CONSERVATION DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-2471
Mailing Address - Country:US
Mailing Address - Phone:954-687-7942
Mailing Address - Fax:
Practice Address - Street 1:815 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3312
Practice Address - Country:US
Practice Address - Phone:954-473-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27685122300000X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist