DR. NYDIA GRICELLE DELTORO RIVERA MD, WCC. DWC, CWS
NPI 1679557912
General Practice in Lake Wales, FL
About Dr. Nydia Gricelle Deltoro Rivera Md, Wcc. Dwc, Cws NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NYDIA GRICELLE DELTORO RIVERA MD, WCC. DWC, CWS (NPI 1679557912) is an individual general practice provider in Lake Wales, Florida, licensed in Florida (ACN634) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Nydia Gricelle Deltoro Rivera Md, Wcc. Dwc, Cws is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nydia Deltoro Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Pierce, FL 34947
- Reassigned Medicare billing, Florida enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE WALES, FL 33853
LAKE WALES, FL 33853
LAKE WALES, FL 33853
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 Nydia Deltoro Rivera's NPI number?
The NPI number for Nydia Deltoro Rivera is 1679557912. It was assigned to this individual provider in the NPPES registry on November 30, 2005.
Where is Nydia Deltoro Rivera located?
Nydia Deltoro Rivera practices at 1120 Carlton Ave, Lake Wales, FL 33853. The listed phone number is (863) 270-4546.
What is Nydia Deltoro Rivera's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Nydia Deltoro Rivera enrolled in Medicare?
Yes. Nydia Deltoro Rivera is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nydia Deltoro Rivera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nydia Deltoro Rivera reassigns Medicare benefits to American Care Of South Florida, Inc (Fort Pierce, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nydia Deltoro Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nydia Deltoro Rivera was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Nydia Gricelle Deltoro Rivera, MD, WCC. DWC, CWS · NPI 1679557912
General Practice physician in Lake Wales, Florida. Individual provider, active in the CMS NPPES registry since November 30, 2005.
## Identity
- **NPI:** 1679557912 (Entity type: Individual)
- **Enumerated:** November 30, 2005
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** ACN634 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1120 CARLTON AVE, Lake Wales, FL 33853-4348
- **Phone:** (863) 270-4546
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** American Care Of South Florida, Inc (NPI 1750685400, Fort Pierce, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1679557912) · Data from the CMS NPPES public registry.