Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nydia Gricelle Deltoro Rivera, MD, WCCDWC, CWS

Individual provider General Practice Physician · NPI 1679557912

Dr. Nydia Gricelle Deltoro Rivera, MD, WCCDWC, CWS is a General Practice Physician in Lake Wales, Florida. Practices as a sole proprietor. Licensed in Florida and Puerto Rico.

Licensed in
FL, PR
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1120 Carlton Ave
Lake Wales, FL 33853-4348
Phone: (863) 270-4546
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN634 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 13203 (PR)

Record details

NPI number1679557912
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , WCCDWC , CWS
Sole proprietorYes
NPI enumeratedNovember 30, 2005
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022

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