Healthcare Provider Details

I. General information

NPI: 1194594952
Provider Name (Legal Business Name): ORQUIDEA CLAUDIA RIVEROL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2023
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14100 PALMETTO FRNTG RD STE 101
MIAMI LAKES FL
33016-1568
US

IV. Provider business mailing address

8181 NW SOUTH RIVER DR LOT D426
MEDLEY FL
33166-7474
US

V. Phone/Fax

Practice location:
  • Phone: 786-502-3486
  • Fax:
Mailing address:
  • Phone: 305-742-9321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: