Rivera, Ida

Rivera, Ida is an sole proprietor health care provider with primary practice located at 150 Spartan Dr , Maitland FL 32751-3468. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Rivera, Ida can be contacted via phone (407) 331-8002.

Contact Information

Primary practice address
150 Spartan Dr Maitland FL 32751-3468
Fax: (407) 261-0523
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1124328885
LBN Legal business name Rivera, Ida
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2010
Last updated Oct 28th, 2010 - about 14 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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