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NPI Code Detail

MEDICARE: ALEIDA M. RIVERO M.A., CCC-SLP

MEDICARE: ALEIDA M. RIVERO M.A., CCC-SLP
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
1235Z00000XSpeech-Language PathologistCOND 2007081 SPOH
2235Z00000XSpeech-Language PathologistSP.8944OH
3235Z00000XSpeech-Language PathologistSA12875FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SP.8944OTHEROHOHIO SPEECH-LANGUAGE PATHOLOGY LICENSE
2SA12875OTHERFLFLORIDA SPEECH-LANGUAGE PATHOLOGY LICENSE
312100681OTHERASHA CERTIFICATE OF CLINICAL COMPETENCE

General Provider Information

NPI Number : 1588879712
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEIDA M. RIVERO M.A., CCC-SLP
Provider Business Mailing Address
First Line : 2750 COACHMAN LAKES DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-1858
Country : US
Telephone Number : 904-534-3503
Fax Number :
Provider Business Practice Location Address
First Line : 12740 LANIER RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32226-1704
Country : US
Telephone Number : 904-757-0600
Fax Number : 888-421-1025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2007
Last Update Date : 08/06/2025

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Directions to “ ALEIDA M. RIVERO M.A., CCC-SLP” Practice Location

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