Marcos Antonio Rivera Roman, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1503 Issued in FL

Practice address

3647 S Orlando Dr
Sanford, FL 32773-5611

Phone

(407) 541-0115

Fax

(407) 344-7910

NPI assigned

May 6, 2022

Last updated

Feb 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PR, FL2 enrollments

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 2

Specialty

General Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centerwell Senior Primary Care FL JV PLLCGroup PAC ID 5698206167, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

• Centerwell Senior Primary Care FL JV PLLC

  dba Conviva Philips Highway

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1003643214

  General Practice

  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care FL Inc

  dba CenterWell Senior Primary Care of Hoffner

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1487686705
  Medicare reassignment
• Centerwell Senior Primary Care FL JV PLLC

  dba Conviva Hudson

  • Internal Medicine Physician
  • Hudson, FL
  • NPI 1356178578

  General Practice

  NPD
• Centerwell Senior Primary Care FL JV PLLC

  dba Conviva Wiregrass

  • Internal Medicine Physician
  • Wesley Chapel, FL
  • NPI 1821825043

  General Practice

  NPD
• Orlando Family Physicians, LLC

  • General Practice Physician
  • Orlando, FL
  • NPI 1912579673
  NPD
• Best Diagnostic Care Services II, Inc

  • Mammography Clinic/Center
  • Miami, FL
  • NPI 1568413037
  NPD (past)
• Centerwell Senior Primary Care FL JV PLLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1003646308

  General Practice

  NPD (past)
• Idelis Fedeslinda Arias de la Torre

  • General Practice Physician
  • Seffner, FL
  • NPI 1639747595
  NPD (past)
• Orlando Family Physicians, LLC

  • General Practice Physician
  • Orlando, FL
  • NPI 1689242570
  NPD (past)

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1043956741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "844-630-0700",
            "fax_number": "877-374-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 S ORLANDO DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735611",
            "telephone_number": "407-541-0115",
            "fax_number": "407-344-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ROMAN",
        "first_name": "MARCOS",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-06",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117196700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marcos.rivera.roman.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3647 S Orlando Dr",
            "city": "Sanford",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327735611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joanne Ritter, LMHC
• Daralisse Rivera Beltran
• Rivera Family Chiropractic Center LLC
• Candice M Rivera Mendez, MD
• Ana Rivera Rivera Rodriguez, PHD CCC-SLP
• Maria Isabel Rivera Silva, M.S. SLP
• Yanis Rivera-Gonzalez
• Lakecia Rivera, APRN, FNP-C
• Omar M Rivera, D.C.
• Maria de Los Angeles Rivero Vander Briest, RBT

• General Practice Physician in Sanford, FL
• Providers in Sanford, 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 Feb 17, 2026; 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.