MEDICARE: CECILIA 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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1700739208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CECILIA RIVERA

Provider Business Mailing Address
First Line	:	330 PAULS DR STE 200
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-4716
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 PAULS DR STE 200
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-4716
Country	:	US
Telephone Number	:	813-655-4166
Fax Number	:

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

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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Directions to “ CECILIA RIVERA ” Practice Location

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