Individual provider · Type 1 NPI

Raul Antonio Rivero Gonzalez

Licensed Practical Nurse · Tampa, FL

NPI number 1366339103 Active

Practice location

8416 Canterbury Lake Blvd
Tampa, FL 33619-6668

Call (305) 910-1700 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN5230489 (FL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1366339103

Raul Antonio Rivero Gonzalez's National Provider Identifier is 1366339103, issued on Jun 23, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tampa, FL. The record was last updated on Jun 23, 2025.