Skills 4 You Florida, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN897 Issued in FL

Legal business name

SKILLS 4 YOU FLORIDA, LLC

Practice address

17906 Woodcrest Way
Clermont, FL 34714-5906

Phone

(407) 989-1830

Fax

(863) 582-9773

NPI assigned

Jun 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Agustin Rivera, MD; MCNPI 1508226101

Title

Partner

Phone

(787) 995-1429

Specialties & licenses 9

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Agustin Rivera, M.D; MC; CLERGY

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1508226101
  NPD Authorized official
• Wanda Ivelisse Smith, M.D.; MPH

  • General Practice Physician
  • Orlando, FL
  • NPI 1972797348

  Family Medicine

  NPD
• Valeria Rivera-Smith, PSYD

  • Clinical Psychologist
  • Raleigh, NC
  • NPI 1730747452
  NPD (past)

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1740630946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17906 WOODCREST WAY",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347145906",
            "telephone_number": "863-420-9899",
            "fax_number": "863-582-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17906 WOODCREST WAY",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347145906",
            "telephone_number": "407-989-1830",
            "fax_number": "863-582-9773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E Lancaster Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32809",
            "country_code": "US",
            "telephone_number": "863-420-9899",
            "fax_number": "863-582-9773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 E Lancaster Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32809",
            "country_code": "US",
            "telephone_number": "863-420-9899",
            "fax_number": "863-582-9773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Lake Davenport Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "33897",
            "country_code": "US",
            "telephone_number": "863-420-9899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKILLS 4 YOU FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "AGUSTIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "787-995-1429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD; MC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "XS5786XXX",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "PMH1453",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "1702-001",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "557",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "PR",
            "license": "557",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "PR",
            "license": "1578",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akhil Singhal, MD
• Darren W. Sinopoli, D.M.D.
• Yarisol Siriotis
• Guyathri Mylinee Sivothayan, FNP-C
• Bradford C Skiff, M.S., A.T.C.
• Skin Pros LLC
• Patricia Skoog, LMT
• Egle Skruodyte, DMD
• Savannah Skyers
• Blake Edward Slaughter

• General Practice Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.