Individual provider Active NPI

Abimael Rivera Garcia, MD

  • Psychiatry Physician
  • Saint Cloud, FL
National Provider Identifier
1164450664
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ACN947 Issued in FL
Practice address
2521 13TH St
Suite D
Saint Cloud, FL 34769
Phone
(407) 734-1273
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 14567 PR
Psychiatry Physician 2084P0800X ACN947 FL Primary

Addresses

Primary practice location

2521 13TH St
Suite D
Saint Cloud, FL 34769

Mailing address

2521 13TH St
Suite D
Saint Cloud, FL 34769
Phone (407) 734-1273

Other practice location 1

5425 S. Semoran
Suite 3
Orlando, FL 32822
Phone (407) 734-1273

Other practice location 2

J2 Calle 2
Villas de Rio Grande
Rio Grande, PR 00745-2840
Phone (787) 594-7062

Other identifiers 1

IdentifierTypeStateIssuer
021960900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160509000464 PR Practitioner - Psychiatry 6709783194 Practice locations: Rio Grande, PR
I20190215001418 FL Practitioner - Psychiatry 6709783194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Psychiatric ServicesGroup PAC ID 4981901444, 6 clinicians

Practice addresses (Care Compare)

5449 S Semoran Blvd
Suite 20
Orlando, FL 32822-1778
Phone (407) 734-1273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN947FLMDPsychiatry Physician
14567PRMDPsychiatry Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1164450664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 13TH ST",
            "address_2": "SUITE D",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-734-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 13TH ST",
            "address_2": "SUITE D",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-734-1273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5425 S. Semoran",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32822",
            "country_code": "US",
            "telephone_number": "407-734-1273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "J2 Calle 2",
            "address_2": "Villas de Rio Grande",
            "address_purpose": "LOCATION",
            "city": "Rio Grande",
            "state": "PR",
            "postal_code": "007452840",
            "country_code": "US",
            "telephone_number": "787-594-7062",
            "fax_number": "787-657-7755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA GARCIA",
        "first_name": "ABIMAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "14567",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ACN947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021960900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.