Active NPI
Adrian Riguero, PA-C
- Physician Assistant
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9115236
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9115236 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifestar Mental Wellness Center Inc, CMHC | Current | Accepting new patients | |
| Yny Behavioral Services LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Hialeah, FL
- NPI 1619313186
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Coral Springs, FL
- NPI 1942895792
-
- Case Management Agency
- Miami, FL
- NPI 1366069700
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.