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

Jessica Prado Rivas

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306591862

Jessica Prado Rivas is a Student in an Organized Health Care Education/Training Program in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

9250 College Pkwy Ste 1
Fort Myers, FL 33919-4847
Phone: (239) 256-1416
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 29397 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306591862
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 14, 2022
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

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