MR. SANTIAGO J RIVERA


Address: 3420 Nw 112th Ter, Coral Springs, FL 33065-7094
Phone: 9543455117

MR. SANTIAGO J RIVERA (NPI# 1174741615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174741615
Entity Type Individual
Full Name MR. SANTIAGO J RIVERA
Credential PTA
Practice Address 3420 Nw 112th Ter
Coral Springs
FL 33065-7094
Practice Telephone 9543455117
Practice Fax Number 9543455459
Mailing Telephone 9543455117
Mailing Fax Number 9543455459
Enumeration Date 2007-04-22
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor PTA11718 FL Other Service Providers

Office Location

Street Address 3420 NW 112TH TER
City CORAL SPRINGS
State FL
Zip Code 33065-7094

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1487148706 Perfect Balance Healthcare, Pllc Pharmacist 7500 Live Oak Dr., Coral Springs, FL 33065 2018-06-20
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1821502550 Happy Adult Day Care Rehab, LLC Clinic/Center 7463 W Sample Rd, Coral Springs, FL 33065 2017-11-16
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578099370 Sandra A Alincy Contractor 2031 Coral Ridge Dr, Coral Springs, FL 33071-7833 2017-05-11
1073056834 Joseph Garcia Contractor 10020 Nw 36th St Apt 1, Coral Springs, FL 33065-2843 2016-11-28
1265894422 Mark Vinson Contractor 10379 Royal Palm Blvd, Coral Springs, FL 33065-4817 2016-03-25
1245649607 Henry Jose Pedrique Contractor 6956 W Sample Rd, Coral Springs, FL 33067-4284 2014-08-10
1215350087 Medica Solution Partners, LLC Contractor 11230 Nw 52nd St, Coral Springs, FL 33076-3001 2014-01-29
1407250780 Dolly Pedrique Contractor 6956 W Sample Rd, Coral Springs, FL 33067-4284 2014-10-15

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NPI Name Taxonomy Address Enumeration
1770183683 Ana Cecilia Fonseca Contractor 3456 Sw 112th Ave, Miami, FL 33165-3456 2020-10-29
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1649878208 Jill K Bailey Contractor 1809 E Broadway St Ste 147, Oviedo, FL 32765-8597 2020-10-15
1700484771 James Butler Contractor 7771 W Oakland Park Blvd Ste 105c, Sunrise, FL 33351-6749 2020-10-13
1407453277 Princess Laqa Callahan Contractor 2620 Nw 19th St, Ft Lauderdale, FL 33311-3324 2020-10-05
1154928158 Amy Benzenhafer Contractor 586 Woodlow Rd, Niceville, FL 32578-2108 2020-10-03
1083220297 Melissa Velez Contractor 104 Sw Peacock Blvd Apt 3-205, Port St Lucie, FL 34986-3467 2020-09-22
1023623626 Floridamed Health Network Contractor 1806 N Flamingo Rd Ste 220, Pembroke Pines, FL 33028-1030 2020-09-10
1700491677 Patrice Alicia Leys Contractor 2022 Nw 43rd Ter Apt 6, Lauderhill, FL 33313-4340 2020-09-09
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Competitor

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City CORAL SPRINGS
Zip Code 33065

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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