Individual provider Active NPI

Jesus B Menendez Rivera, M.D.

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1013978816
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME84372 Issued in FL
Practice address
2267 SW 1St St
Miami, FL 33135-1512
Phone
(305) 337-2727
Fax
(305) 337-2728
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME84372 FL Primary

Addresses

Primary practice location

2267 SW 1St St
Miami, FL 33135-1512

Mailing address

2267 SW 1St St
Miami, FL 33135-1512
Phone (305) 337-2727

Other identifiers 1

IdentifierTypeStateIssuer
262153300MedicaidFL

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080215000335 FL Practitioner - General Practice 0547343436 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGHCDD/Endpoint/BGHCDD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1013978816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 SW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351512",
            "telephone_number": "305-337-2727",
            "fax_number": "305-337-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 SW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351512",
            "telephone_number": "305-337-2727",
            "fax_number": "305-337-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENENDEZ RIVERA",
        "first_name": "JESUS",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME84372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262153300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.