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

Individual provider Surgical Physician Assistant · NPI 1538307509

Stephanie Rivera, PA-C is a Physician Assistant in Lake Worth, Florida. Qualified in 2008, 18 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Florida.

Years since qualifying
18
Licensed in
CT, FL
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1926 10th Ave N Ste 105
Lake Worth, FL 33461-3300
Phone: (615) 345-5400
Fax: (888) 468-6511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3100 Sw 62nd Ave # Avw, Miami, FL 33155-3009 — (305) 662-8366

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAT9104890 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 002372 (CT)

Record details

NPI number1538307509
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 29, 2009
Last updated in NPPESMarch 28, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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