Active NPI
Melvin Daniel Rivera Carrero, MD
- Internal Medicine Physician
- Debary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME165828
- Practice address
- 21 S Charles Richard Beall Blvd
Debary, FL 32713-3332 - Phone
- (386) 516-0930
- Fax
- (386) 668-6897
- NPI assigned
- Jul 13, 2017
- Last updated
- Sep 3, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME165828 | FL | Primary |
| Internal Medicine Physician | 207R00000X | 33359 | PR | |
| Internal Medicine Physician | 207R00000X | 34654R | PR |
Addresses
Primary practice location
21 S Charles Richard Beall Blvd
Debary, FL 32713-3332
Mailing address
425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 758-2966
Other practice location 1
605 Courtland Blvd
Deltona, FL 32738-8913
Phone (386) 320-9990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121193800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- San Juan Bautista School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
21 S Charles Richard Beall Blvd
Debary, FL 32713-3332
Phone (386) 516-0930
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33359 | PR | MD | Internal Medicine Physician |
| 34654R | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Family Physicians, LLC | Current | Accepting new patients | |
| Orlando Family Physicians, LLC | Current | Accepting new patients | |
| Idelis Fedeslinda Arias de la Torre | Past | Accepting new patients |
Locations
21 S Charles Richard Beall Blvd
Debary, FL 32713
Phone (386) 516-0930
605 Courtland Blvd
Deltona, FL 32738
Phone (386) 320-9990
605 Courtland Blvd
Ste 105
Deltona, FL 32738
Phone (386) 320-9990
1130 S Semoran Blvd
Orlando, FL 32807
Phone (407) 382-1376
1130 S Semoran Blvd
Ste B
Orlando, FL 32807
Phone (407) 382-1376
425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947
6900 Tavistock Lakes Blvd
Ste 300
Orlando, FL 32827
Phone (321) 332-6947
811 N Nowell St
Orlando, FL 32808
Phone (407) 259-2383
Networks
- Freedom Health HMO Network
Interoperability endpoints
- melvin.rivera.carrero.1@27472.direct.athenahealth.com
Organizations & group practices 3
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.
-
- General Practice Physician
- Orlando, FL
- NPI 1568563187
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
-
- General Practice Physician
- Seffner, FL
- NPI 1639747595
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1093237786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W COLONIAL DR STE 303",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328046863",
"telephone_number": "321-758-2966",
"fax_number": "407-286-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 S CHARLES RICHARD BEALL BLVD",
"city": "DEBARY",
"state": "FL",
"postal_code": "327133332",
"telephone_number": "386-516-0930",
"fax_number": "386-668-6897"
}
],
"practiceLocations": [
{
"address_1": "605 Courtland Blvd",
"address_purpose": "LOCATION",
"city": "Deltona",
"state": "FL",
"postal_code": "327388913",
"country_code": "US",
"telephone_number": "386-320-9990",
"fax_number": "407-732-6288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA CARRERO",
"first_name": "MELVIN",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-13",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME165828",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "33359",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "34654R",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121193800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Debary, FL
- Respiratory Kinect Inc (Care Options HomeHealth Services)
- Ailissa Tekla Retalic, APRN
- Caitlyn Rhoades, APRN
- Richard C. Montz DDS, PA (River City Dentistry)
- River City Chiropractic and Injury
- Iliana Rivera
- Kayla Cristina Rivera, MSW
- Robert Rodgers, PTA
- Irelis Rodriguez Castro, M.D.
- Angelina Elizabeth Ross
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.