Individual provider Active NPI

Adrian Riguero, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1205505252
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9115236 Issued in FL
Practice address
790 NW 107TH Ave Ste 110
Miami, FL 33172-3100
Phone
(305) 964-5426
NPI assigned
Sep 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9115236 FL Primary

Addresses

Primary practice location

790 NW 107TH Ave Ste 110
Miami, FL 33172-3100

Mailing address

9550 SW 147TH St
Miami, FL 33176-7831

Other practice location 1

3416 W 84th St
Hialeah, FL 33018-4933
Phone (305) 557-1555

Other practice location 2

12448 SW 127th Ave
Miami, FL 33186-6596
Phone (786) 864-1030

Other practice location 3

9550 SW 147th St
Miami, FL 33176-7831
Phone (786) 222-8536

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220112002373 FL Practitioner - Physician Assistant 4082006572 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9115236FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestar Mental Wellness Center Inc, CMHC CurrentSince Aug 26, 2025 Accepting new patients
Yny Behavioral Services LLC CurrentSince Feb 12, 2023 Accepting new patients

Locations

3416 W 84th St
Ste 108
Hialeah, FL 33018
Phone (305) 557-1555

790 NW 107th Ave
Ste 110
Miami, FL 33172
Phone (305) 964-5426

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1205505252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 SW 147TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 NW 107TH AVE STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723100",
            "telephone_number": "305-964-5426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3416 W 84th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330184933",
            "country_code": "US",
            "telephone_number": "305-557-1555",
            "fax_number": "786-442-2176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12448 SW 127th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331866596",
            "country_code": "US",
            "telephone_number": "786-864-1030",
            "fax_number": "305-735-7666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9550 SW 147th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331767831",
            "country_code": "US",
            "telephone_number": "786-222-8536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIGUERO",
        "first_name": "ADRIAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-12",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9115236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.