Active NPI
Nelson Rodriguez Rivas
- Social Worker
- Palmetto Bay, FL
National Provider Identifier
1184594541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CBHCM0105170
- Practice address
- 15924 SW 92ND Ave
Palmetto Bay, FL 33157-1842 - Phone
- (305) 964-5824
- Fax
- (786) 452-1200
- NPI assigned
- Nov 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CBHCM0105170 | FL | MD | Social Worker |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CBHCM0105170 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
15924 SW 92ND Ave
Palmetto Bay, FL 33157-1842
Mailing address
2653 SE 21St CT Unit 107D
Homestead, FL 33035-1321
Phone (305) 857-2250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 10, 2025.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1184594541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2653 SE 21ST CT UNIT 107D",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330351321",
"telephone_number": "305-857-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15924 SW 92ND AVE",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331571842",
"telephone_number": "305-964-5824",
"fax_number": "786-452-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ RIVAS",
"first_name": "NELSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-10",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "CBHCM0105170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmetto Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.