Rivera, Ileana Ivelisse
Rivera, Ileana Ivelisse is an sole proprietor health care provider with primary practice located at 465 S Grady Ave , Lakeland FL 33815-4017. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Rivera, Ileana Ivelisse can be contacted via phone (863) 660-4180.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Phlebotomy | 246RP1900X | 3162-160-065-6023 | Massachusetts |
Profile Details
| NPI number | 1023759826 |
|---|---|
| LBN Legal business name | Rivera, Ileana Ivelisse |
| Credentials | CPI |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2022 |
| Last updated | Apr 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023759826 | NPPES |
| Florida | Other | 1275296667 | NPI |
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