MEDICARE: DAYAN PINTUELES RIVERO

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	103K00000X	Behavior Analyst	1-25-84400	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	:	1912687047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAYAN PINTUELES RIVERO

Provider Business Mailing Address
First Line	:	241 SE 1ST AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-1004
Country	:	US
Telephone Number	:	305-613-9958
Fax Number	:	239-424-8055

Provider Business Practice Location Address
First Line	:	13289 VALRICO TER
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33955-2409
Country	:	US
Telephone Number	:	305-613-9958
Fax Number	:

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

Provider Enumeration Date	:	07/24/2023
Last Update Date	:	03/10/2026

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Directions to “ DAYAN PINTUELES RIVERO ” Practice Location

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