Individual provider

Nydia Deltoro Rivera, MD, WCC. DWC, CWS

General Practice Physician Medicare enrolled

Nydia Deltoro Rivera, MD, WCC. DWC, CWS is a General Practice Physician in Lake Wales, FL, registered under NPI 1679557912. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1120 CARLTON AVE, Lake Wales, FL 33853. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1120 CARLTON AVE, Lake Wales, FL 33853 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
ACN634 FL General Practice Physician primary
13203 PR General Practice Physician

Licences are recorded in 2 states: FL, PR. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - General Practice
PAC ID
4082516380
Enrollment ID
I20150819008963

Medicare enrolment is recorded as approved under the provider type Practitioner - General Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Florida and Puerto Rico. The practice address on file is in Lake Wales, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida practice address
Licence
ACN634
Specialty
General Practice Physician
Verify with the FL board →
PR Puerto Rico
Licence
13203
Specialty
General Practice Physician
Verify with the PR board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What General Practice covers

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
Allopathic & Osteopathic Physicians General Practice

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208D00000X General Practice Physician ACN634 FL primary
208D00000X General Practice Physician 13203 PR

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1679557912 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 30, 2005
Last updatedMar 3, 2022
StatusActive
Sole proprietorYes
CredentialMD, WCC. DWC, CWS
Practice address 1120 CARLTON AVE
Lake Wales, FL 33853
(863) 270-4546
Mailing address 12171 SW 268TH ST
Homestead, FL 33032
The last update on file is Mar 3, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1679557912 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 7 9 5 5 7 9 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 5 9 1 5 5 9 2

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1679557912?
NPI 1679557912 is the National Provider Identifier assigned to Nydia Deltoro Rivera, MD, WCC. DWC, CWS in Lake Wales, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice Physician cover?
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
How do I contact Nydia Deltoro Rivera, MD, WCC. DWC, CWS?
The phone number on file with NPPES is (863) 270-4546, last updated Mar 3, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Nydia Deltoro Rivera, MD, WCC. DWC, CWS accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1679557912 a valid number?
Yes. 1679557912 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.