Jessica Marie Rivera-Maldonado, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-308590 Issued in FL

Practice address

930 Rimini Dr
Saint Cloud, FL 34771-9114

Phone

(407) 780-6007

NPI assigned

Jun 16, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1679258768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIMINI DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347719114",
            "telephone_number": "407-780-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 RIMINI DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347719114",
            "telephone_number": "407-780-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-MALDONADO",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "RN9370399",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "L-308590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalianne Rivera Berrios, MD
• Abimael Rivera Garcia, MD
• Cristopher Luis Rivera Padilla, DC
• Shakira Enid Rivera Suarez
• Isamar Vanessa Rivera-Feliciano, PT
• Ana L Rivera
• Anais Ivette Rivera
• Cynthia Rivera
• David Rivera, MA
• Ileana Rivera, B.A.

• Lactation Consultant (Registered Nurse) in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Lactation Consultant (Registered Nurse) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.