Deltoro Rivera, Nydia Gricelle
Deltoro Rivera, Nydia Gricelle is an sole proprietor health care provider with primary practice located at 1120 Carlton Ave , Lake Wales FL 33853-4348. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Deltoro Rivera, Nydia Gricelle can be contacted via phone (863) 270-4546.Contact Information
Primary practice address
1120 Carlton Ave
Lake Wales FL 33853-4348
Phone: (863) 270-4546
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 13203 | Puerto Rico |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN634 | Florida |
Profile Details
NPI number | 1679557912 |
---|---|
LBN Legal business name | Deltoro Rivera, Nydia Gricelle |
Credentials | MD, WCC. DWC, CWS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 30th, 2005 |
Last updated | Mar 3rd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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