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

Luis Ricardo Rivera II

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104768753

Luis Ricardo Rivera II is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

655 W 8th St
Jacksonville, FL 32209-6511
Phone: (407) 230-1964
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 number1104768753
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 6, 2026
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing address655 W 8th St, Jacksonville, FL 32209-6511

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