Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSE A RIVERA, MANAGING CONTROL CEO
Active Sole ProprietorJOSE A RIVERA, MANAGING CONTROL CEO is a Primary Care Clinic healthcare provider located in KISSIMMEE, Florida. NPI 1114414380 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · KISSIMMEE, FL
Registration Details
- NPI Number
- 1114414380
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2018 (8.3604008526978 yrs)
- Last Updated
- Feb 20, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1906 N JOHN YOUNG PKWYKISSIMMEE, FL, 34741Browse FL providers · Browse ZIP 34741
- Phone
- 4079944606
- Fax
- 8883384430
- Primary Specialty
-
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.