MEDICARE: ALEXIA ETHERIDGE-RIVERA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		FL

General Provider Information

NPI Number	:	1235081605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIA ETHERIDGE-RIVERA

Provider Business Mailing Address
First Line	:	1511 SW 63RD TER
Second Line	:
City	:	NORTH LAUDERDALE
State	:	FL
Zip	:	33068-4401
Country	:	US
Telephone Number	:	561-886-8575
Fax Number	:

Provider Business Practice Location Address
First Line	:	1511 SW 63RD TER
Second Line	:
City	:	NORTH LAUDERDALE
State	:	FL
Zip	:	33068-4401
Country	:	US
Telephone Number	:	561-886-8575
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “ ALEXIA ETHERIDGE-RIVERA ” Practice Location

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