Healthcare Provider Details

I. General information

NPI: 1437066149
Provider Name (Legal Business Name): IVONNE RIVERA ARROYO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 SE 1ST AVE STE 100-105
OCALA FL
34471-2161
US

IV. Provider business mailing address

2216 SW 163RD LN
OCALA FL
34473-7443
US

V. Phone/Fax

Practice location:
  • Phone: 352-764-3713
  • Fax:
Mailing address:
  • Phone: 939-226-5470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15377
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: