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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NYDIA GRICELLE DELTORO RIVERA, MD, WCC. DWC, CWS

Active Sole Proprietor

DR. NYDIA GRICELLE DELTORO RIVERA, MD, WCC. DWC, CWS is a General Practice healthcare provider located in LAKE WALES, Florida. NPI 1679557912 is currently active in the NPPES registry. Verify at CMS.

General Practice · LAKE WALES, FL

Registration Details

NPI Number
1679557912
Provider Type
Individual
Gender
Female
NPI Issued
Nov 30, 2005 (20.52410623585 yrs)
Last Updated
Mar 3, 2022
Licenses
13203 (PR)
ACN634 (FL)
Sole Proprietor
Yes

Practice Information

Address
1120 CARLTON AVE
LAKE WALES, FL, 338534348
Browse FL providers · Browse ZIP 33853
Phone
8632704546
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice

Other General Practice Providers in LAKE WALES, FL

Name Credential NPI
DR. RICHARD KEITH BACHMAN M.D. 1891066247
JEAN FRITZNER BALAN M.D. 1124499173
YAIRALIZ RODRIGUEZ GONZALEZ 1104321348
DR. DANICE BLAISE MD,MBA 1255829966
DR. CATHERINE ROBERTS DUNCAN DVM 1134934136
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.