Martha Isabel Rivera | Palmetto Bay, FL • PECOS Search

Martha Isabel Rivera

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9333 SW 152nd St, Palmetto Bay, FL 33157-1778

(786) 627-8525 (305) 281-6171

PECOS Enrollment

Based on the most recent information from CMS, provider Martha Isabel Rivera does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1174187405
Provider Type
Individual
Full Name
Rivera, Martha Isabel
Credential
MSN, APRN, FNP-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/22/2019
Last Updated
8/20/2021

Contact Information

Practice Location

9333 SW 152nd St, Palmetto Bay, FL 33157-1778

Unlisted Fax

Mailing Location

15931 SW 146th Ter, Miami, FL 33196-5730

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11002215 Florida