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NPI Code Detail

MEDICARE: MRS. NAILA RIVERA NIEVES

MEDICARE: MRS. NAILA RIVERA NIEVES
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
1106S00000XBehavior TechnicianFL

General Provider Information

NPI Number : 1881549855
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NAILA RIVERA NIEVES
Provider Business Mailing Address
First Line : 4984 BIG PINE DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32218-9338
Country : US
Telephone Number : 787-628-5456
Fax Number :
Provider Business Practice Location Address
First Line : 464099 STATE ROAD 200 STE 2
Second Line :
City : YULEE
State : FL
Zip : 32097-6460
Country : US
Telephone Number : 904-875-4461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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