Antonio Clemente Rivera, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9566675 Issued in FL

Practice address

2541 S Volusia Ave Ste 100
Orange City, FL 32763-9116

Phone

(386) 218-5911

Fax

(386) 406-8365

NPI assigned

Nov 15, 2024

Sex

Male

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

Credentials

Registered Nurse

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.

• Optimal Research Sites, LLC

  • Research Clinic/Center
  • Orange City, FL
  • NPI 1407670425
  NPD

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1124842141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 S VOLUSIA AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639116",
            "telephone_number": "386-218-5911",
            "fax_number": "386-406-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 S VOLUSIA AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639116",
            "telephone_number": "386-218-5911",
            "fax_number": "386-406-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ANTONIO",
        "middle_name": "CLEMENTE",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9566675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Rieves
• Sarah Rintz, OTR
• Marimar Rios Santiago, DPT
• Rising Phoenix Counseling, LLC
• David Gabriel Rivera Acevedo
• Edmundo I Rivera, MD
• Jose Arnaldo Rivera, D.P.M
• Rebecca Rivetto, MA, BCBA
• Rizen Wellness Lounge LLC
• Robert Erdman, D.D.S.,P.a.

• Registered Nurse in Orange City, FL
• Providers in Orange City, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.