Active NPI
Agustin Rivas, M.D.
- General Practice Physician
- Miami Springs, FL
National Provider Identifier
1205948783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME100281
- Practice address
- 255 Westward Dr
Miami Springs, FL 33166-5259 - Phone
- (786) 621-9777
- Fax
- (786) 621-9601
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME100281 | FL | Primary |
| Pediatrics Physician | 208000000X | ME 100281 | FL | |
| Specialist | 174400000X | ME100281 | FL |
Addresses
Primary practice location
255 Westward Dr
Miami Springs, FL 33166-5259
Mailing address
255 Westward Dr
Miami Springs, FL 33166-5259
Phone (786) 621-9777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013332701 | Medicaid | FL | |
| 013840000 | Medicaid | FL |
Other names 1
- Agustin Rivas
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME100281 | FL | MD | Specialist |
| ME 100281 | FL | MD | Pediatrics Physician |
Organizations & group practices 1
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.
-
- Clinic/Center
- Miami Springs, FL
- NPI 1326455387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1205948783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 WESTWARD DR",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331665259",
"telephone_number": "786-621-9777",
"fax_number": "786-621-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 WESTWARD DR",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331665259",
"telephone_number": "786-621-9777",
"fax_number": "786-621-9601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "AGUSTIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME100281",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 100281",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME100281",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013332701",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013840000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AGUSTIN",
"last_name": "RIVAS",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Miami Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.