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NPI Code Detail

MEDICARE: GERSON DAVID RIVERA PINEDA

MEDICARE:   GERSON DAVID RIVERA PINEDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1144157629
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERSON DAVID RIVERA PINEDA
Provider Business Mailing Address
First Line : 3174 SANTA CRUZ DR
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-3558
Country : US
Telephone Number : 407-301-7728
Fax Number :
Provider Business Practice Location Address
First Line : 3174 SANTA CRUZ DR
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-3558
Country : US
Telephone Number : 407-301-7728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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Directions to “ GERSON DAVID RIVERA PINEDA ” Practice Location

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