Provider Demographics
NPI:1699773895
Name:RIBAS, NIVEA R (M D)
Entity type:Individual
Prefix:
First Name:NIVEA
Middle Name:R
Last Name:RIBAS
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 NW 151ST ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2437
Mailing Address - Country:US
Mailing Address - Phone:305-826-3931
Mailing Address - Fax:305-826-5102
Practice Address - Street 1:5801 NW 151ST ST
Practice Address - Street 2:SUITE 206
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2437
Practice Address - Country:US
Practice Address - Phone:305-826-3931
Practice Address - Fax:305-826-5102
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00644612084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004295OtherNEIGBORHOOD POVIDER #
FL7027301OtherSUNCOAST
FL374412400Medicaid
FLSL04500OtherCAREPLUS
FL23410OtherBCBS INDIVIDUAL #
FL222657OtherAVMED PROVIDER #
FLP00249728OtherPALMETTO GBA
FL004295OtherNEIGBORHOOD POVIDER #
FLF66743Medicare UPIN
FL374412400Medicaid