Provider Demographics
NPI:1396098281
Name:RIVERA NAVAS, EVELYN ZUJHEIL (MD)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:ZUJHEIL
Last Name:RIVERA NAVAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:900 S PINE ISLAND RD STE 800
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3923
Mailing Address - Country:US
Mailing Address - Phone:786-446-2006
Mailing Address - Fax:786-342-6061
Practice Address - Street 1:1567 SAN REMO AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3008
Practice Address - Country:US
Practice Address - Phone:786-446-2006
Practice Address - Fax:786-342-6061
Is Sole Proprietor?:No
Enumeration Date:2012-10-17
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME133319208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL021692800Medicaid