Individual provider Active NPI

Pablo M. Rivera, DC

  • Chiropractor
  • Hudson, FL
National Provider Identifier
1265738462
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10199 Issued in FL
Practice address
13910 Fivay Rd Ste 9
Hudson, FL 34667-7130
Phone
(727) 862-3509
Fax
(727) 862-3500
NPI assigned
Feb 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10199 FL Primary

Addresses

Primary practice location

13910 Fivay Rd Ste 9
Hudson, FL 34667-7130

Mailing address

13910 Fivay Rd Ste 9
Hudson, FL 34667-7130
Phone (727) 862-3509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140602000777 FL Practitioner - Chiropractic 4981827425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Spine and Rehab Center LLCGroup PAC ID 2264690817, 2 clinicians

Practice addresses (Care Compare)

13910 Fivay Rd
Suite 10
Hudson, FL 34667-7130
Phone (727) 862-3509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10199FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Coast Chiropractic LLC Chiropractor CurrentSince Sep 1, 2025 Accepting new patients
Coastal Spine and Rehab Center LLC Chiropractor CurrentSince Jul 24, 2020 Accepting new patients

Locations

13910 Fivay Rd
Ste 10
Hudson, FL 34667
Phone (727) 862-3509

13910 Fivay Rd
Ste 9
Hudson, FL 34667
Phone (727) 777-0084

Organizations & group practices 2

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": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1265738462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13910 FIVAY RD STE 9",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677130",
            "telephone_number": "727-862-3509",
            "fax_number": "727-862-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13910 FIVAY RD STE 9",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677130",
            "telephone_number": "727-862-3509",
            "fax_number": "727-862-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "PABLO",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-04",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "10199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.