| Dr Elvira J Rives, MD | |
|
14505 Commerce Way, Suite 800, Miami Lakes, FL 33016 | |
| (305) 821-8861 | |
| (305) 821-8783 |
| Full Name | Dr Elvira J Rives |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 14505 Commerce Way, Miami Lakes, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619900610 | NPI | - | NPPES |
| 254703100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | M0073603 (Florida) | Primary |
| Entity Name | Premium Healthcare Holdings, Lllp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518587203 PECOS PAC ID: 7315320207 Enrollment ID: O20220809004021 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elvira J Rives, MD 14505 Commerce Way, Suite 800, Miami Lakes, FL 33016 Ph: (305) 821-8861 | Dr Elvira J Rives, MD 14505 Commerce Way, Suite 800, Miami Lakes, FL 33016 Ph: (305) 821-8861 |
Dr. Juan Manuel Hernandez-trujillo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14505 Commerce Way, Suite 800, Miami Lakes, FL 33016 Phone: 305-821-7717 Fax: 305-821-9077 | |
Justin Parker Jeter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15507 Nw 67th Ave, Miami Lakes, FL 33014 Phone: 305-821-8611 Fax: 305-827-1753 | |
Lysette Iglesias, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7761 Nw 146th St, Miami Lakes, FL 33016 Phone: 305-381-5301 Fax: 305-381-5541 | |
Maria M Almanzar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15507 Nw 67th Ave, Miami Lakes, FL 33014 Phone: 305-821-8611 Fax: 305-827-1753 | |
Mario I Quiros, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16250 Nw 57th Ave, Miami Lakes, FL 33014 Phone: 786-442-2136 Fax: 305-823-0914 | |
Malika S Oglesby, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15507 Nw 67th Ave, Miami Lakes, FL 33014 Phone: 305-821-8611 Fax: 305-827-1753 | |
Enrique B Dieguez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15507 -15 Nw 67th Ave, Miami Lakes, FL 33014 Phone: 305-821-8611 Fax: 305-827-1753 |