Organization
EXCELLENT EVOLUTION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES G. RIVERA-MARTINEZ (CEO/ADMINISTRATOR)
(813) 424-8896
Entity
Organization
Contact information
Practice address
1404 TECH BLVD, TAMPA, FL 33619-7865
(813) 424-8896
(813) 533-6791
Mailing address
1404 TECH BLVD, TAMPA, FL 33619-7865
(813) 424-8896
(813) 533-6791
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/17/2026
Last updated
08/17/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up