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Dr. Jean Paul Inesta Rivera, MD
Student in an Organized Health Care Education/Training Program in Brandon, Florida
NPI 1356904072

Jean Paul Inesta Rivera is a Student in an Organized Health Care Education/Training Program based in San Juan, FL. Jean Paul Inesta Rivera practices in Brandon, FL and has the professional credentials of MD. The NPI Number for Jean Paul Inesta Rivera is 1356904072 and holds a License No. 22585 (Florida).

The current practice location address for Jean Paul Inesta Rivera is 119 Oakfield Dr, Brandon, FL and can be reached out via phone at 813-681-5551 and via fax at 813-916-2944.

Location: 119 Oakfield Dr, Brandon, FL, 00919-4000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356904072
Provider Name
Jean Paul Inesta Rivera
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
119 Oakfield Dr, Brandon, FL, 00919-4000
Phone Number
813-681-5551
Fax Number
813-916-2944
Provider Enumeration Date
04/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22585 01 PR MEDICAL LICENSE
5039722 01 PR DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
119 Oakfield Dr
City
Brandon
State
Florida
Zip
33511-5779
Phone Number
813-681-5551
Fax Number
813-916-2944
person
Provider Business Mailing Address Details
Address
119 Oakfield Dr
City
Brandon
State
Florida
Zip
33511-5779
Phone Number
813-681-5551
Fax Number
813-916-2944
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
(Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
22585 ()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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