person
Dr. Nydia Gricelle Deltoro Rivera, MD,WCCDWC,CWS
General Practice Physician in Lake Wales, Florida
NPI 1679557912

Nydia Gricelle Deltoro Rivera is a General Practice Physician based in Homestead, FL. Nydia Gricelle Deltoro Rivera practices in Lake Wales, FL and has the professional credentials of MD,WCCDWC,CWS. The NPI Number for Nydia Gricelle Deltoro Rivera is 1679557912 and holds a License No. 13203 (Florida).

The current practice location address for Nydia Gricelle Deltoro Rivera is 1120 Carlton Ave, Lake Wales, FL and can be reached out via phone at 863-270-4546.

Location: 1120 Carlton Ave, Lake Wales, FL, 33032-8001
person
Provider Profile Details
NPI Number
1679557912
Provider Name
Nydia Gricelle Deltoro Rivera
Credential
MD,WCCDWC,CWS
Provider Entity Type
Individual
Gender
Female
Address
1120 Carlton Ave, Lake Wales, FL, 33032-8001
Phone Number
863-270-4546
Fax Number
Provider Enumeration Date
11/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1120 Carlton Ave
City
State
Zip
33853-4348
Phone Number
863-270-4546
Fax Number
person
Provider Business Mailing Address Details
Address
1120 Carlton Ave
City
State
Zip
33853-4348
Phone Number
863-270-4546
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
13203 ()
Definition
Definition to come...
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