Individual provider Active NPI

Melvin Daniel Rivera Carrero, MD

  • Internal Medicine Physician
  • Debary, FL
National Provider Identifier
1093237786
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME165828 Issued in FL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
121193800MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240202000118 FL Practitioner - Internal Medicine 5698187748 Reassigns benefits to 1 organization

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
Orlando Family Physicians LLCGroup PAC ID 0749226439, 86 clinicians

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

LicenseStateTypeSpecialty
33359PRMDInternal Medicine Physician
34654RPRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Family Physicians, LLC CurrentSince Jan 8, 2024 Accepting new patients
Orlando Family Physicians, LLC CurrentSince Jan 5, 2025 Accepting new patients
Idelis Fedeslinda Arias de la Torre PastSince Jun 1, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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

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

Sources for this page

Verify at the official NPI Registry.