SearchFlorida246RP1900X

Ileana Rivera, CPI

NPI 1023759826 · on the registry since 2022 · sole proprietor

Practice

Address
465 S Grady Ave
Lakeland, FL 33815
Phone
(863) 660-4180

Registry record

Primary taxonomy
246RP1900X
246RP1900X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-04-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida