DR. NYDIA GRICELLE DELTORO RIVERA (NPI# 1679557912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679557912 |
| Entity Type | Individual |
| Full Name | DR. NYDIA GRICELLE DELTORO RIVERA |
| Credential | MD, WCC. DWC, CWS |
| Practice Address |
8726 W Waters Ave Tampa FL 33615-1714 |
| Mailing Address |
12171 Sw 268th St Homestead FL 33032-8001 |
| Practice Telephone | 8137121726 |
| Mailing Telephone | 3052780200 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ACN634 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 13203 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
8726 W WATERS AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33615-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619487659 | Joel Ernesto Perez | Nurse Practitioner | 8726 W Waters Ave, Tampa, FL 33615-1714 | 2017-10-04 |
| 1336531045 | Juan Otazu | Nurse Practitioner | 8726 W Waters Ave, Tampa, FL 33615-1714 | 2015-03-04 |
| 1215345111 | Rosa Maria Fiorenzano | Nurse Practitioner | 8726 W Waters Ave, Tampa, FL 33615-1714 | 2014-07-24 |
| 1437594306 | Marilin Mariana Hernandez Rodriguez | General Practice | 8726 W Waters Ave, Tampa, FL 33615-1714 | 2013-05-06 |
| 1720323223 | Mayri Torres | Nurse Practitioner | 8726 W Waters Ave, Tampa, FL 33615-1714 | 2012-12-10 |
| 1861796435 | American Care of Tampa, Inc | Internal Medicine | 8726 W Waters Ave, Tampa, FL 33615-1714 | 2010-12-22 |
| 1043220254 | Vasilios Sierros | Internal Medicine | 8726 W Waters Ave, Tampa, FL 33615-1714 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083125132 | The Ida House Assisted Living LLC | Assisted Living Facility | 6014 Rosewood Dr, Tampa, FL 33615 | 2017-10-17 |
| 1235671785 | Magnet Home Health Care Services, LLC | Home Health | 5700 Memorial Highway Suite G X H 102, Tampa, FL 33615 | 2016-11-15 |
| 1891247532 | Martin Esuzor | Nurse Practitioner | 7918 Hillsborough Avenue, Tampa, FL 33615 | 2016-10-28 |
| 1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1710327101 | Kelly A Alvarez | Case Manager/Care Coordinator | 7007 Cobblewood Ct, Tampa, FL 33615 | 2013-06-28 |
| 1336497080 | Serenity Home of Tampa Alf LLC | Assisted Living Facility | 6013 Cresthill Drive, Tampa, FL 33615 | 2012-08-28 |
| 1063777563 | Jaime Alexander Pacheco | Chiropractor | 6301 Memorial Hwy Suit 304, Tampa, FL 33615 | 2012-07-10 |
| 1558656678 | Scripts Direct, LLC | Pharmacy | 8313 W. Hillsborough Ave., # 260, Tampa, FL 33615 | 2011-06-16 |
| 1508178245 | The Spring of Tampa Bay | Counselor | 2810 N. 35 St, Tampa, FL 33615 | 2010-07-10 |
| Find all providers in zip 33615 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1619586757 | American Care of Tampa, Inc. | General Practice | 8340 Stone Run Ct, Tampa, FL 33615-1879 | 2020-07-24 |
| 1124652425 | Vivant Medical Group LLC | General Practice | 6214 Memorial Hwy Ste B, Tampa, FL 33615-4507 | 2020-02-25 |
| 1003453499 | Healmi Technologies, LLC | General Practice | 3109 W Dr Martin Luther King Jr Blvd Ste 111, Tampa, FL 33607-6237 | 2019-12-04 |
| 1023507407 | Mildred Catherine Conneely | General Practice | 1701 W Jetton Ave, Tampa, FL 33606-3026 | 2018-05-01 |
| 1144725557 | John Henry Hoenemeyer II | General Practice | 325 W Frierson Ave, Tampa, FL 33603-1932 | 2018-03-27 |
| 1568980464 | Drsoncalls | General Practice | 449 S 12th St., Unit 2801, Tampa, FL 33602 | 2017-08-31 |
| 1033635149 | Peak Payer Solutions, Inc. | General Practice | 12332 Race Track Road, Tampa, FL 33626 | 2017-08-21 |
| 1114457272 | Nodal Medical Center LLC | General Practice | 2123 W Dr Martin Luther King Jr Blvd Ste 101, Tampa, FL 33607-6545 | 2017-06-12 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.