Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Ricky Rivera

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902404262

Justin Ricky Rivera is a Student in an Organized Health Care Education/Training Program in Lauderhill, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

6740 NW 38th Dr
Lauderhill, FL 33319-7305
Phone: (954) 756-3333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (FL)

Record details

NPI number1902404262
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 9, 2020
Last updated in NPPESOctober 9, 2020
Certification dateOctober 9, 2020
Mailing address6740 Nw 38th Dr, Lauderhill, FL 33319-7305

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