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General NPI Number Information
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NPI Number | 1588879712
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Entity Type | Individual
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Provider Name | ALEIDA M. RIVERO M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 12740 LANIER RD
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City | JACKSONVILLE
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State | FL
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Zip | 32226-1704
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Country | US
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Telephone | 904-757-0600
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Fax | 888-421-1025
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Provider Business Mailing Address
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Address Line | 2750 COACHMAN LAKES DR
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City | JACKSONVILLE
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State | FL
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Zip | 32246-1858
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Country | US
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Telephone | 904-534-3503
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | COND 2007081 SP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP.8944
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA12875
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License Number State | FL
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