Individual provider · Type 1 NPI
Christian Gabriel Rivera, DC
Chiropractor · South Daytona, FL
NPI number
1972795607
Active
Practice location
1821 S Ridgewood Ave
South Daytona, FL 32119-2258
Mailing address
PO Box 291794
Port Orange, FL 32129-1794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 428 (PR) |
| Chiropractor | 111N00000X | 2006033754 (MO) |
| Chiropractor | 111N00000X | None listed |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1972795607
Christian Gabriel Rivera, DC's National Provider Identifier is 1972795607, issued on Aug 16, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in South Daytona, FL. The record was last updated on Aug 16, 2007.