DR. JEAN PAUL INESTA RIVERA MD NPI 1356904072

NPI Information

NPI: 1356904072
Provider Name: DR. JEAN PAUL INESTA RIVERA, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
119 OAKFIELD DR
BRANDON, FL
ZIP 33511
Phone: (813) 681-5551
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DR. Jean Paul Inesta Rivera, MD is a general practice in Brandon, FL. DR. Jean Paul Inesta Rivera, MD NPI is 1356904072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

119 OAKFIELD DR
BRANDON, FL
ZIP 33511-779
Phone: (813) 681-5551
Fax: (813) 916-2944

The enumeration date for this NPI number is 4/18/2019 and was last updated on 12/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208D00000X	General Practice	22585	PUERTO RICO	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program		FLORIDA	No
3	390200000X	Student in an Organized Health Care Education/Training Program	5039722	PUERTO RICO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5039722	OTHER	PUERTO RICO	DRIVER LICENSE
2	22585	OTHER	PUERTO RICO	MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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