Individual provider · Type 1 NPI

Annly Rivero, BDM

Nurse Practitioner · Hialeah, FL

NPI number 1205299062 Active

Practice location

3298 W 70th St Unit 105
Hialeah, FL 33018-7171

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Nurse Practitioner Primary 363L00000X12250163 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1205299062

Annly Rivero, BDM's National Provider Identifier is 1205299062, issued on Mar 30, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hialeah, FL. The record was last updated on Feb 7, 2026.