Active NPI
Fernando Rivabem Medical and Rehab Center
- Clinic/Center
- Miami, FL
National Provider Identifier
1013392158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- ME79774
- Legal business name
- FERNANDO RIVABEM MEDICAL AND REHAB CENTER
- Practice address
- 8660 W Flagler St
Suite 209
Miami, FL 33144-2031 - Phone
- (305) 303-2917
- NPI assigned
- Jul 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fernando Rivabem, MD
- Title
- Owner
- Phone
- (305) 303-2917
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | ME79774 | FL | Primary |
Addresses
Primary practice location
8660 W Flagler St
Suite 209
Miami, FL 33144-2031
Mailing address
8660 W Flagler St
Suite 209
Miami, FL 33144-2031
Phone (305) 303-2917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME79774 | Other | FL | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438128000000",
"number": "1013392158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8660 W FLAGLER ST",
"address_2": "SUITE 209",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442031",
"telephone_number": "305-303-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8660 W FLAGLER ST",
"address_2": "SUITE 209",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442031",
"telephone_number": "305-303-2917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERNANDO RIVABEM MEDICAL AND REHAB CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-29",
"last_updated": "2015-07-29",
"status": "A",
"authorized_official_last_name": "RIVABEM",
"authorized_official_first_name": "FERNANDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-303-2917",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "FL",
"license": "ME79774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME79774",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.