Alexander Riesgo, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA23681 Issued in FL

Practice address

15623 SW 36TH Ter
Miami, FL 33185-4790

Phone

(786) 709-5083

NPI assigned

May 16, 2013

Last updated

May 16, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1093151144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15623 SW 36TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15623 SW 36TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854790",
            "telephone_number": "786-709-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESGO",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA23681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "PTA 23681",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rieras Inc.
• David Alexander Riesco, MD
• Douglas Riesco, MSPT
• Roxana Riesgo Pacheco
• Aldo Marcelo Riesgo, M.D.
• Francisco Riesgo, RN
• Sissi Riesgo
• Miriela Rieumont, APRN
• Shaina Rieumont X, DPT
• Rif Medical Group, Inc

• Physical Therapy Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.