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Douglas Manuel Ernesto Rivera Agosto
Student in an Organized Health Care Education/Training Program in Bradenton, Florida
NPI 1619662343

Douglas Manuel Ernesto Rivera Agosto is a Student in an Organized Health Care Education/Training Program based in Bradenton, FL. Douglas Manuel Ernesto Rivera Agosto practices in Bradenton, FL. The NPI Number for Douglas Manuel Ernesto Rivera Agosto is 1619662343 and holds a License No. (Florida).

The current practice location address for Douglas Manuel Ernesto Rivera Agosto is 2020 59Th St W, Bradenton, FL and can be reached out via phone at 941-792-6611.

Location: 2020 59Th St W, Bradenton, FL, 34209-4604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619662343
Provider Name
Douglas Manuel Ernesto Rivera Agosto
Credential
Provider Entity Type
Individual
Gender
Male
Address
2020 59Th St W, Bradenton, FL, 34209-4604
Phone Number
941-792-6611
Fax Number
Provider Enumeration Date
04/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2020 59Th St W
City
Bradenton
State
Florida
Zip
34209-4604
Phone Number
941-792-6611
Fax Number
person
Provider Business Mailing Address Details
Address
2020 59Th St W
City
Bradenton
State
Florida
Zip
34209-4604
Phone Number
941-792-6611
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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