Individual provider · Type 1 NPI

Luis Ricardo Rivera Ii

Student in an Organized Health Care Education/Training Program · Jacksonville, FL

NPI number 1104768753 Active

Practice location

655 W 8th St
Jacksonville, FL 32209-6511

Call (407) 230-1964 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1104768753

Luis Ricardo Rivera Ii's National Provider Identifier is 1104768753, issued on Apr 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 28, 2026.