Vivian Revilla Rodriguez, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11039107 Issued in FL

Practice address

1600 NE Miami Gardens Dr
Miami, FL 33179-4900

Phone

(786) 248-5374

NPI assigned

Nov 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pasteur & Wellmax Medical Centers LLC

  • Clinic/Center
  • Miami, FL
  • NPI 1346060522
  Medicare reassignment NPD
• Pasteur & Wellmax Medical Centers LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Miami, FL
  • NPI 1033930466
  NPD
• Pasteur & Wellmax Medical Centers LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Pembroke Pines, FL
  • NPI 1093535288
  NPD

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1003329269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NE MIAMI GARDENS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794900",
            "telephone_number": "786-248-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NE MIAMI GARDENS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794900",
            "telephone_number": "786-248-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVILLA RODRIGUEZ",
        "first_name": "VIVIAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11039107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Yelena Yvette Revere
• Gerardin Josefina Reverol Gonzalez, RBT-19-77418
• Marlon Reveron de la Cueva
• Diego Revilla
• Lianne Revilla, APRN
• Revilbray Revilla, FNP-C
• Revised Perspective
• Revital Eyes PA

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.