Individual provider · Type 1 NPI

Nydia Gricelle Deltoro Rivera, MD, WCC. DWC, CWS

General Practice Physician · Lake Wales, FL

NPI number 1679557912 Active

Practice location

1120 Carlton Ave
Lake Wales, FL 33853-4348

Call (863) 270-4546 Map

Mailing address

12171 SW 268th St
Homestead, FL 33032-8001

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X13203 (PR)
General Practice Physician Primary 208D00000XACN634 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

5 other providers at this address

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About NPI 1679557912

Nydia Gricelle Deltoro Rivera, MD, WCC. DWC, CWS's National Provider Identifier is 1679557912, issued on Nov 30, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lake Wales, FL. The record was last updated on Mar 3, 2022.