Individual provider Active NPI

Jose Luis Lopez Rivera, M.D

  • Family Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1164710182
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME138937 Issued in FL
Practice address
210 N Westmonte Dr # 1001
Altamonte Springs, FL 32714-3311
Phone
(407) 633-0401
Fax
(407) 214-2749
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8746A WY
Family Medicine Physician 207Q00000X CDR0000225 CO
Family Medicine Physician 207Q00000X ME138937 FL Primary

Addresses

Primary practice location

210 N Westmonte Dr # 1001
Altamonte Springs, FL 32714-3311

Mailing address

210 N Westmonte Dr # 1001
Altamonte Springs, FL 32714-3311
Phone (407) 633-0401

Other identifiers 1

IdentifierTypeStateIssuer
126651900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, FL, CO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20120523000407 WY Practitioner - Family Practice 4385807619 Reassigns benefits to 3 organizations
I20190314000111 FL Practitioner - Family Practice 4385807619 Reassigns benefits to 4 organizations
I20190327000864 CO Practitioner - Family Practice 4385807619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians
Inpatient Care Specialists LLCGroup PAC ID 0345493623, 101 clinicians
Central Florida Inpatient Medicine LLCGroup PAC ID 7911805254, 113 clinicians

Practice addresses (Care Compare)

210 N Westmonte Dr
Suite 1001
Altamonte Springs, FL 32714-3311
Phone (407) 633-0401

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
Phone (386) 254-4000

525 Technology Park
Suite 109
Lake Mary, FL 32746-7107
Phone 4076472346111

Hospital & facility affiliations

  • Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Halifax Health /Uf Health Medical Center of Delton Hospital, Deltona, FL, CCN 100330

Merit-based Incentive Payment System (MIPS)

Final score
87.9 of 100Reported as group
Quality
79.21
Promoting interoperability
99
Improvement activities
40
Cost
77.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDR0000225COMDFamily Medicine Physician
ME138937FLMDFamily Medicine Physician
8746AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc Family Medicine CurrentSince May 24, 2023 Accepting new patients
Floridamd Clinic PA Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Community Hospital CurrentSince Apr 27, 2012 Accepting new patients
Banner Health Physicians West LLC CurrentSince Jun 1, 2012 Accepting new patients
Community Hospital Family Medicine Current Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Feb 17, 2019 Accepting new patients
Central Florida Inpatient Medicine LLC CurrentSince Jul 1, 2024 Accepting new patients
Community Hospital CurrentSince Apr 27, 2012 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Feb 17, 2019 Accepting new patients
Banner Health Physicians West LLC CurrentSince Jun 1, 2012 Accepting new patients
Inpatient Services, PC Family Medicine CurrentSince May 1, 2022 Accepting new patients
Inpatient Services, PC Family Medicine CurrentSince May 1, 2022 Accepting new patients
Inpatient Services, PC Family Medicine Current Accepting new patients

Locations

4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

210 N Westmonte Dr
#1001
Altamonte Springs, FL 32714
Phone (407) 633-0401

210 N Westmonte Dr
Ste 1001
Altamonte Springs, FL 32714

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

625 Albany Ave
Torrington, WY 82240
Phone (307) 347-8801

2000 Campbell Dr
Torrington, WY 82240
Phone (307) 532-4181

1356 Shiek St
Wheatland, WY 82201
Phone (307) 322-3861

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: joselopezriverafloridamd@docvilladirect.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1164710182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N WESTMONTE DR # 1001",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143311",
            "telephone_number": "407-633-0401",
            "fax_number": "407-214-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N WESTMONTE DR # 1001",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143311",
            "telephone_number": "407-633-0401",
            "fax_number": "407-214-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ RIVERA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "8746A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CDR0000225",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME138937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126651900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.