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NPI Code Detail

MEDICARE: LISNEIDY RIVERO MACHADO

MEDICARE: LISNEIDY RIVERO MACHADO
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 TechnicianRBT-26-526308FL

General Provider Information

NPI Number : 1154265551
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISNEIDY RIVERO MACHADO
Provider Business Mailing Address
First Line : 6145 LAKE WORTH RD STE A
Second Line :
City : GREENACRES
State : FL
Zip : 33463-3001
Country : US
Telephone Number : 561-421-0047
Fax Number :
Provider Business Practice Location Address
First Line : 6145 LAKE WORTH RD STE A
Second Line :
City : GREENACRES
State : FL
Zip : 33463-3001
Country : US
Telephone Number : 561-421-0047
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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Directions to “ LISNEIDY RIVERO MACHADO ” Practice Location

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