MEDICARE: MS. CARIDEL RODRIGUEZ RIVERO OCCUPATIONAL THERAPY

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	106S00000X	Behavior Technician	23-289778	FL
2	225X00000X	Occupational Therapist	15916	FL
3	103K00000X	Behavior Analyst	1-24-77483	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508342379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CARIDEL RODRIGUEZ RIVERO OCCUPATIONAL THERAPY

Provider Business Mailing Address
First Line	:	9907 NW 80TH WAY
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2278
Country	:	US
Telephone Number	:	305-316-5956
Fax Number	:

Provider Business Practice Location Address
First Line	:	9907 NW 80TH WAY
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2278
Country	:	US
Telephone Number	:	305-316-5956
Fax Number	:

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

Provider Enumeration Date	:	07/16/2018
Last Update Date	:	11/21/2024

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Directions to “ MS. CARIDEL RODRIGUEZ RIVERO OCCUPATIONAL THERAPY” Practice Location

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