Elizabeth Rivera, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME105694 Issued in FL

Practice address

929 N Spring Garden Ave Ste 170
Deland, FL 32720-0917

Phone

(386) 738-9144

Fax

(386) 738-9213

NPI assigned

Aug 17, 2006

Last updated

Jan 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metcare of Florida, Inc

  dba Conviva Care Center

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1902893225
  NPD (past)
• CRM Group Practice

  • Physical Therapy Clinic/Center
  • Toa Baja, PR
  • NPI 1760627988
  NPD (past)
• CSM Servicios de Cuidado Inc.

  • Primary Care Clinic/Center
  • Toa Baja, PR
  • NPI 1639367154
  NPD (past)
• Home Medic Coordination

  • General Practice Physician
  • Santa Isabel, PR
  • NPI 1104923689
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1194839464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "386-202-6025",
            "fax_number": "386-202-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N SPRING GARDEN AVE STE 170",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200917",
            "telephone_number": "386-738-9144",
            "fax_number": "386-738-9213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "J5 Ave San Patricio Apt 1204",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "009684419",
            "country_code": "US",
            "telephone_number": "787-273-1684",
            "fax_number": "787-273-1684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME105694",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "7090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ridgecrest NH, LLC (Ridgecrest Nursing and Rehabilitation Center)
• Ridgecrest Nursing and Rehab LLC
• Edmond Jacob Riechers
• Daniel L. Riegle, MAT ATC
• Kathrine N Rigney, FNP
• Rosario Michael Rizzo Jr., LPN
• John Murphy Roa, LIC OPTICIAN
• Tina Sue-Marie Roberts-Smith, MPAS,PA-C
• Zsanae Roberts
• Tomas Rodriguez Molinet, MD

• Family Medicine Physician in Deland, FL
• Providers in Deland, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.