=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982951331
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VALERIE DELPHINE RIVERA HAS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/04/2012
-----------------------------------------------------
Last Update Date | 07/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1901 SE 18TH AVE STE 102
-----------------------------------------------------
City | OCALA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34471-8211
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-351-3977
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 149 PLANTATION RIDGE DR STE 140
-----------------------------------------------------
City | MOORESVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28117-9175
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-360-4788
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237700000X
-----------------------------------------------------
Taxonomy Name | Hearing Instrument Specialist
-----------------------------------------------------
License Number | AS4803
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------