Provider Demographics
NPI:1881175834
Name:RIVERO, NELSON (ARNP-BC)
Entity type:Individual
Prefix:
First Name:NELSON
Middle Name:
Last Name:RIVERO
Suffix:
Gender:M
Credentials:ARNP-BC
Other - Prefix:MR
Other - First Name:NELSON
Other - Middle Name:
Other - Last Name:RIVERO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3898 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1614
Mailing Address - Country:US
Mailing Address - Phone:954-280-2056
Mailing Address - Fax:
Practice Address - Street 1:3898 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1614
Practice Address - Country:US
Practice Address - Phone:954-280-2056
Practice Address - Fax:954-280-2043
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-28
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9290598363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily