Nydia Gricelle Deltoro Rivera in Lake Wales - General Practice
Nydia Gricelle Deltoro Rivera - NPI 1679557912
Nydia Gricelle Deltoro Rivera is a General Practice in Lake Wales, Florida. Nydia Gricelle Deltoro Rivera practices all healthcare services and medical treatments related to General Practice. The NPI Number for Nydia Gricelle Deltoro Rivera is 1679557912. The last update date is 2022-03-03.
Nydia Gricelle Deltoro Rivera's current location address is 1120 Carlton Ave, Lake Wales, Florida. You can contact this provider via phone number 8632704546. The mailing address for Nydia Gricelle Deltoro Rivera is 1120 Carlton Ave, Lake Wales, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nydia Gricelle Deltoro Rivera |
|---|---|
| Address | 1120 Carlton Ave, Lake Wales, Florida |
| Phone Number | 8632704546 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD, WCC. D |
NPI Number Detail
| NPI Number | 1679557912 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2022-03-03 |
Provider Mailing Address Detail
| Address | 1120 Carlton Ave |
|---|---|
| City | Lake Wales |
| State | Florida (FL) |
| Post Code | 338534348 |
| Phone Number | 8632704546 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 13203 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique identifier code issued to Nydia Gricelle Deltoro Rivera by the Centers for Medicare & Medicaid Services?
The Nydia Gricelle Deltoro Rivera has been assigned the NPI (National Provider Identifier) 1679557912. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Nydia Gricelle Deltoro Rivera is physically located?
The Nydia Gricelle Deltoro Rivera is physically situated at the following address: 1120 Carlton Ave, Lake Wales, FL, 338534348.
What is Nydia Gricelle Deltoro Rivera's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nydia Gricelle Deltoro Rivera is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679557912 to Nydia Gricelle Deltoro Rivera?
The Centers for Medicare & Medicaid Services assigned the 1679557912 to Nydia Gricelle Deltoro Rivera on 2005-11-30.
As of what date was the information regarding Nydia Gricelle Deltoro Rivera, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Nydia Gricelle Deltoro Rivera, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-03-03.