IndividualActive
Mario Rivera, D.R.
NPI 1477698215 · Dental Laboratory Technician · Orlando, FL
Provider details
- NPI number
- 1477698215
- Entity type
- Individual
- Primary specialty
- Dental Laboratory TechnicianDental Providers
- Credential
- D.R.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DR125576 (FL)
Practice location
232 N Orange Blossom Trl
Orlando, FL 32805-1612
Phone: (407) 428-1672
Fax: (407) 481-8638
Mailing address
232 N Orange Blossom Trl
Orlando, FL 32805-1612
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.