Provider Demographics
NPI:1326618877
Name:RIVERA CONTES, VIMARELIS (DC)
Entity type:Individual
Prefix:
First Name:VIMARELIS
Middle Name:
Last Name:RIVERA CONTES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 TAMIAMI TRL S STE 386
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-2442
Mailing Address - Country:US
Mailing Address - Phone:941-484-0008
Mailing Address - Fax:941-484-0014
Practice Address - Street 1:333 TAMIAMI TRL S STE 386
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-2442
Practice Address - Country:US
Practice Address - Phone:941-484-0008
Practice Address - Fax:941-484-0014
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14523111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor