DR. NYDIA GRICELLE DELTORO RIVERA MD, WCC. DWC, CWS
NPI 1679557912
General Practice in Lake Wales, FL

Active since November 30, 2005PECOS Enrolled
1120 CARLTON AVE, LAKE WALES, FL 33853(863) 270-4546 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2022, Mar 2, 2020 (2 updates tracked since 2020).

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

NPI1679557912
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. NYDIA GRICELLE DELTORO RIVERACredential: MD, WCC. DWC, CWS
Location Address1120 CARLTON AVELake Wales, FL 33853-4348
Mailing Address12171 Sw 268th StHomestead, FL 33032-8001 · (305) 278-0200
Sole ProprietorYes
Enumeration DateNovember 30, 2005
Last NPPES UpdateMarch 3, 20222 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
NPI 1679557912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses Licensed in FL · ACN634 Licensed in PR · 13203
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1120 CARLTON AVE, Lake Wales, FL 33853

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Nurse Practitioner (Family)
1120 CARLTON AVE, SUITE 1300
LAKE WALES, FL 33853
Psychiatry & Neurology (Neurology)
1120 CARLTON AVE, SUITE 1300
LAKE WALES, FL 33853
Nurse Practitioner (Family)
1120 CARLTON AVE
LAKE WALES, FL 33853
Psychiatry & Neurology (Neurology)
1120 CARLTON AVE, SUITE 1300
LAKE WALES, FL 33853
Specialist
1120 CARLTON AVE, SUITE 2300
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.

What insurance does Nydia Deltoro Rivera accept?

Health plans from Molina Healthcare list Nydia Deltoro Rivera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nydia Deltoro Rivera was last updated on March 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.