WANDA RIVERA PA-C
NPI 1548463516
Physician Assistant - Medical in Bradenton, FL

Q: What is Wanda Rivera's NPI number?

The NPI number for Wanda Rivera is 1548463516. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Q: What is Wanda Rivera's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Wanda Rivera was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 07, 2007

3600 LAKE BAYSHORE DR UNIT 502, BRADENTON, FL 34205(941) 727-9359 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wanda Rivera Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA RIVERA PA-C (NPI 1548463516) is an individual medical provider in Bradenton, Florida, licensed in Florida (PA9102476) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1548463516

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameWANDA RIVERACredential: PA-C

Location Address3600 LAKE BAYSHORE DR UNIT 502Bradenton, FL 34205-9050

Mailing Address3600 Lake Bayshore Dr Unit 502Bradenton, FL 34205-9050 · (941) 727-9359

Phone(941) 727-9359

Sole ProprietorNo

Enumeration DateJune 7, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1548463516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9102476

3600 LAKE BAYSHORE DR UNIT 502, Bradenton, FL 34205

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Rivera's NPI number?

The NPI number for Wanda Rivera is 1548463516. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Wanda Rivera located?

Wanda Rivera practices at 3600 Lake Bayshore Dr Unit 502, Bradenton, FL 34205. The listed phone number is (941) 727-9359.

What is Wanda Rivera's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Wanda Rivera was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.