Individual provider · Type 1 NPI

Juan Carlos Rivera Martinez, MD

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

NPI number 1679275705 Active

Practice location

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543

Call (863) 687-1100 Map

Mailing address

300 Parkview Pl
Lakeland, FL 33805-4550

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 1679275705

Juan Carlos Rivera Martinez, MD's National Provider Identifier is 1679275705, issued on Mar 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lakeland, FL. The record was last updated on Oct 19, 2023.