Odalis Rivera

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

BHCM.0107683-P Issued in FL

Practice address

5726 Old Cheney Hwy
Orlando, FL 32807-3525

Phone

(407) 900-5278

NPI assigned

Jul 9, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Constellation Support Services LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1205549078
  NPD

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1053202085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 BLUE JAY DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378835",
            "telephone_number": "787-292-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 OLD CHENEY HWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073525",
            "telephone_number": "407-900-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ODALIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "BHCM.0107683-P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myleen Rivera
• Natalie Danielle Rivera
• Nereida Rivera
• Nilda Rivera, BA
• Norma Iris Rivera, LMT
• Patricia I Rivera
• Peter Joshua Rivera, DDS
• Ross Gilbert Cayanan Rivera, COTA
• Ruth Elaine Rivera
• Ryan G Rivera

• Case Manager/Care Coordinator in Orlando, FL
• Providers in Orlando, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.