Mark Dediego Rivera Morales, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME1559976 Issued in FL

Practice address

700 W Oak St
Kissimmee, FL 34741

Phone

(321) 697-1730

Fax

(407) 518-3923

NPI assigned

Jul 23, 2018

Last updated

Jun 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Ponce School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Medical Collective, PAGroup PAC ID 8628429958, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209
• Keralty Hospital Hospital, Miami, FL, CCN 100284

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Synergy Medical Collective, PA

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1659086585
  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• Westchester General Hospital, Inc.

  dba Coral West Community Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Miami, FL
  • NPI 1578183331
  Medicare reassignment NPD
• Westchester General Hospital, Inc.

  dba Keralty Hospital Specialty Center

  • Gastroenterology Physician
  • Miami, FL
  • NPI 1801589197
  NPD
• J-Point Internal Medicine Group PSC

  • Internal Medicine Physician
  • Carolina, PR
  • NPI 1598684235
  NPD (past)
• Servicios Medicos Universitarios Inc

  dba Hospital UPR Dr Federico Trilla

  • Psychiatric Hospital Unit
  • Carolina, PR
  • NPI 1881816932

  Student in an Organized Health Care Education/Training Program

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kendall Healthcare Group, LTD.

  dba HCA Florida Kendall Hospital

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1710931522
  Care Compare affiliation
• Westchester General Hospital, Inc.

  dba Coral West Community Hospital

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1548284177
  Care Compare affiliation

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1083191092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416330",
            "telephone_number": "321-697-1730",
            "fax_number": "407-518-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "321-697-1730",
            "fax_number": "407-518-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA MORALES",
        "first_name": "MARK",
        "middle_name": "DEDIEGO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME1559976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlo Andres Rivera Gonzalez
• Litza Rivera Gonzalez
• Miriam L Rivera Irizarry, M.D.
• Alexander Rivera Legrand, PTA
• Yashira Marie Rivera Lopez
• Eduardo G Rivera Olivera, BT
• Gerson David Rivera Pineda
• Marieliz Rivera Ramirez, OTR
• Francheska M Rivera Ramos
• Zory M Rivera Rivera

• Emergency Medicine Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.