Healthcare Provider Details
I. General information
NPI: 1750093639
Provider Name (Legal Business Name): MARIA ISABEL RIVERA SILVA M.S. SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/22/2022
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3063 EMERALD ACRES LN
SANFORD FL
32771-6955
US
IV. Provider business mailing address
3063 EMERALD ACRES LN
SANFORD FL
32771-6955
US
V. Phone/Fax
- Phone: 787-587-8290
- Fax:
- Phone: 787-587-8290
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | SA21928 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | SZ10235 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: