Provider Demographics
NPI:1083508337
Name:CONTINO RIVERO, ANTOINETTE (PA)
Entity type:Individual
Prefix:
First Name:ANTOINETTE
Middle Name:
Last Name:CONTINO RIVERO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14943 SW 179TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-6270
Mailing Address - Country:US
Mailing Address - Phone:786-499-8396
Mailing Address - Fax:
Practice Address - Street 1:14943 SW 179TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33187-6270
Practice Address - Country:US
Practice Address - Phone:786-499-8396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2221363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant