Individual provider Active NPI

Luis Garcia Rivera, M.D.

  • General Practice Physician
  • Lakeland, FL
National Provider Identifier
1164539870
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13253 Issued in PR
Practice address
5425 S Florida Ave
Lakeland, FL 33813
Phone
(863) 644-3585
Fax
(863) 644-3171
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13253 PR Primary

Addresses

Primary practice location

5425 S Florida Ave
Lakeland, FL 33813

Mailing address

1955 Wind Meadows Dr
Bartow, FL 33830-2937
Phone (787) 215-8576

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
I20150325001322 FL Practitioner - General Practice 6800924986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Internal Medicine Care, PAGroup PAC ID 2466504386, 10 clinicians

Practice addresses (Care Compare)

1045 E County Rd
540A
Lakeland, FL 33813-3735
Phone (863) 644-3585

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Medical Centers General Practice CurrentSince Mar 18, 2024 Accepting new patients
Advanced Internal Medicine Care, PA General Practice CurrentSince Mar 16, 2015 Accepting new patients
Health Holdings Company LLC CurrentSince Mar 18, 2024 Accepting new patients
JRV Med Group LLC General Practice PastSince Apr 9, 2020 Accepting new patients
Allhealth LLC Past Accepting new patients
Jesmer PSC General Practice Past Accepting new patients

Locations

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

360 S 10th St
Haines City, FL 33844
Phone (863) 547-0755

5421 S Florida Ave
#0
Lakeland, FL 33813

5425 S Florida Ave
Lakeland, FL 33813
Phone (863) 644-3585

1045 State Road 540A
Lakeland, FL 33813
Phone (863) 607-9600

1509 W Reynolds St
Plant City, FL 33563
Phone (813) 704-6905

950 1st St S
Winter Haven, FL 33880
Phone (863) 293-7778

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFJGAA/Endpoint/GFJGAA

Organizations & group practices 6

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1164539870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 WIND MEADOWS DR",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338302937",
            "telephone_number": "787-215-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33813",
            "telephone_number": "863-644-3585",
            "fax_number": "863-644-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA RIVERA",
        "first_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.