Sandra Riveros

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9107404 Issued in FL

Practice address

233 S Federal Hwy Ste 103
Boca Raton, FL 33432-4938

Phone

(561) 347-2996

Fax

(561) 347-2998

NPI assigned

Oct 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Addison Mizner Medical LLC

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1902090202
  NPD (past)
• Bocacare Inc

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1225845787
  NPD (past)

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1215365309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S FEDERAL HWY STE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324938",
            "telephone_number": "561-347-2996",
            "fax_number": "561-347-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S FEDERAL HWY STE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324938",
            "telephone_number": "561-347-2996",
            "fax_number": "561-347-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVEROS",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9107404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "PA9107404",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liza Magsino Rivera, PT
• Lizette Rivera
• Diana Reyes Rivero
• Hedrick Rivero, M.D.
• Yeney Rivero, RBT
• Alina Rivkin, SLP
• Ilya Rivkin, PMHNP
• Mariane Rizkallah, PHARMD
• Julia Rizopoulos
• Frances Rizzo

• Medical Physician Assistant in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.