Provider Demographics
NPI:1447485446
Name:RIVERA, LINETTE MARIE (MD)
Entity type:Individual
Prefix:
First Name:LINETTE
Middle Name:MARIE
Last Name:RIVERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LINETTE
Other - Middle Name:MARIE
Other - Last Name:RIVERA ROBLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 NW 87TH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2656
Mailing Address - Country:US
Mailing Address - Phone:787-594-0020
Mailing Address - Fax:
Practice Address - Street 1:2000 NW 87TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-2656
Practice Address - Country:US
Practice Address - Phone:787-594-0020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME110043207RE0101X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism