Active NPI
Luis Garcia Rivera, M.D.
- General Practice Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 13253
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Medical Centers | General Practice | Current | Accepting new patients |
| Advanced Internal Medicine Care, PA | General Practice | Current | Accepting new patients |
| Health Holdings Company LLC | Current | Accepting new patients | |
| JRV Med Group LLC | General Practice | Past | 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
- 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.
-
- Internal Medicine Physician
- Lakeland, FL
- NPI 1811130339
General Practice
-
- Primary Care Clinic/Center
- Coral Gables, FL
- NPI 1336583707
-
- Health Maintenance Organization
- Lakeland, FL
- NPI 1770023640
-
- General Practice Physician
- Sabana Grande, PR
- NPI 1225401102
-
- General Practice Physician
- Sabana Grande, PR
- NPI 1821591280
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.