Rafael David Prim Rivera, DVM

Primary specialty

TechnicianTaxonomy code 374700000X

License

VM16463 Issued in FL

Practice address

11951 Lake Underhill Rd
Orlando, FL 32825-5007

Phone

(407) 382-3818

NPI assigned

Apr 8, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1205416831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11951 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255007",
            "telephone_number": "407-382-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11951 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255007",
            "telephone_number": "407-382-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIM RIVERA",
        "first_name": "RAFAEL",
        "middle_name": "DAVID",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "FL",
            "license": "VM16463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Prieto
• Gabriella Prieto
• Janishka Gianni Prieto, RBT
• Jesus Prieto
• Patricia Prieto
• Primary Care and Wellness Centers of CFL
• Primary Care Nurse Practitioners (At Home Nurse Practitioners)
• Primary Care of Central Florida Inc
• Primary Care of Orlando, Inc.
• Primary Care Pediatrics, P.a.

• Technician in Orlando, FL
• Providers in Orlando, FL by specialty
• Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.