Rivera Primary Care Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RIVERA PRIMARY CARE INC

Practice address

295 Patterson Rd Ste 103
Haines City, FL 33844-6247

Phone

(407) 966-4222

NPI assigned

Aug 21, 2024

Organization subpart

No

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

Authorized official

Name

Jose S Rivera Irizarry, MD

Title

Ceo

Phone

(863) 657-5557

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1144053604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580730",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347580010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 PATTERSON RD STE 103",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446247",
            "telephone_number": "407-966-4222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 Cypress Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347593315",
            "country_code": "US",
            "telephone_number": "407-343-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVERA PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "RIVERA IRIZARRY",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-657-5557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Robert Renuart, M.D.
• Lea Elizabeth Reyna
• William T Rigby, PTA
• Angel L Rios, MA
• Luis Anibal Rivera Lugo, FNP
• Michele Arlene Rivera-Acosta
• Damaris Rivera-Ramirez, MSW
• Jose Eli Rivera, MS
• Luzzette Z. Rivera, RPH
• Samantha Anne Lopera Rivera, DMD

• Primary Care Clinic/Center in Haines City, FL
• Providers in Haines City, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.