Gladis Leonor Rivas Canino, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11014281 Issued in FL

Practice address

13641 SW 23Rd Ter
Miami, FL 33175-6345

Phone

(786) 303-6470

NPI assigned

Sep 22, 2021

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: gladis.rivascanino.p1@direct.caremax.nextgenshare.com

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1053082966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13641 SW 23RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756345",
            "telephone_number": "786-303-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13641 SW 23RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756345",
            "telephone_number": "786-303-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS CANINO",
        "first_name": "GLADIS",
        "middle_name": "LEONOR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis H Rivadeneira Jr.
• Lannier Rivas Acosta
• Fabiana Andreina Rivas Alesci
• Ingrid Lludelis Rivas Brea
• Martha Adela Rivas Campos
• Marlene Rivas Coello
• Gripssy Rivas Diez
• Miguel Enrique Rivas Gelves I, MD
• German Rivas Gomez
• Yovani Rivas Gomez

• 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 Sep 22, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.