WANDA RIVERA (NPI# 1548463516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548463516 |
| Entity Type | Individual |
| Full Name | WANDA RIVERA |
| Credential | PA-C |
| Practice Address |
3600 Lake Bayshore Dr Unit 502 Bradenton FL 34205-9050 |
| Practice Telephone | 9417279359 |
| Mailing Telephone | 9417279359 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9102476 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205046976 | Wanda Yadira Rivera | Psychologist | Calle Guarionex #7, Local 2, Hato Rey, PR 00917 | 2007-05-23 |
| 1679537104 | Wanda Acuna Rivera | Dietitian, Registered | 6036 Cedar Ln, Bldg 1277, Hill Afb, UT 84056-5812 | 2006-04-13 |
| 1073591665 | Wanda Rivera | Internal Medicine | 1132 Annapolis Rd, Odenton, MD 21113 | 2006-01-04 |
| 1013201201 | Wanda A Rivera | Pharmacist | 3600 W Nolana Ave, Mcallen, TX 78504-4594 | 2011-06-05 |
| 1083892129 | Wanda Rivera | Physician Assistant | 128 Ashford Ave, Dobbs Ferry, NY 10522-1924 | 2008-01-31 |
| 1063637536 | Wanda Ivelisse Rivera | Pharmacy Technician | St. 152 Cedro Arriba, Km 9.9, Naranjito, PR 00719 | 2007-04-17 |
| 1265550339 | Wanda I Rivera | Pharmacy Technician | 27 Calle Baldorioty, Coamo, PR 00769-3122 | 2007-03-27 |
| 1407982812 | Wanda I Rivera | Optometrist | 59 Ave Esmeralda, Urb Ponce De Leon, Guaynabo, PR 00969-4429 | 2007-02-27 |
| Street Address |
3600 LAKE BAYSHORE DR UNIT 502 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34205-9050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
| 1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
| 1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
| 1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
| 1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
| 1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| Find all providers in zip 34205 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548588262 | Michael John Dale | Physician Assistant | 6110 S.r. 70 East (53rd Ave), Bradenton, FL 34203 | 2010-05-05 |
| 1750416582 | Dominic Louis Sorrentino Jr. | Physician Assistant | 8648 E State Road 70, Bradenton, FL 34202-3785 | 2007-02-22 |
| 1295770816 | John E Darovec Jr. | Physician Assistant | 3649 Cortez Rd W, Bradenton, FL 34210-3106 | 2006-06-18 |
| 1003883299 | Patricia Anne Keefe | Physician Assistant | 4647 Manatee Avenue W, Bradenton, FL 34209-3816 | 2006-03-07 |
| 1063402006 | Roger Cordial | Physician Assistant | 315 75th St West, Pinnacle Urgent Care, Bradenton, FL 34209 | 2005-10-21 |
| 1184257255 | Erika Burbano | Physician Assistant | 1886 59th St W, Bradenton, FL 34209-4630 | 2020-02-18 |
| 1811539042 | Joseph Burke | Physician Assistant | 6110 State Road 70 E, Bradenton, FL 34203-9712 | 2019-10-09 |
| 1619419314 | Jashira Ruperto-swalls | Physician Assistant | 2020 59th St W, Bradenton, FL 34209-4604 | 2016-11-11 |
| 1871943209 | Laura Yvonne Vanhandel | Physician Assistant | 315 75th St W, Bradenton, FL 34209 | 2016-06-16 |
| 1811311905 | Danielle Sookoor | Physician Assistant | 4401 Cortez Rd W, Bradenton, FL 34210-3142 | 2014-02-10 |
| Find all providers in BRADENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.