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Delilah Maytle Rivas

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

6200 SW 73rd St, South Miami, FL 33143-4679

PECOS Enrollment

This provider is enrolled in PECOS as DELILAH RIVAS.

Based on the most recent information from CMS, provider Delilah Maytle Rivas is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1720812019
Provider Type
Individual
Full Name
Rivas, Delilah Maytle
Credential
DNP,FNP-BC,AGACNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
8/28/2024
Last Updated
4/13/2025

Contact Information

Practice Location

6200 SW 73rd St, South Miami, FL 33143-4679

(786) 527-4246

Unlisted Fax

Mailing Location

11802 SW 173rd Ter, Miami, FL 33177-2239

(305) 200-7537

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11022832 Florida
Code 363LA2100X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 2024100852 Florida

Delilah Maytle Rivas

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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