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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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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