Individual provider Active NPI

Nirza Victoria Sisalema Rivas, ARNP

  • Family Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1265889794
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11019562 Issued in FL
Practice address
4950 S Le Jeune Rd
Coral Gables, FL 33146-2231
Phone
(305) 239-5585
NPI assigned
May 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11019562 FL Primary
Surgical Assistant 246ZC0007X 15-132 CO

Addresses

Primary practice location

4950 S Le Jeune Rd
Coral Gables, FL 33146-2231

Mailing address

12271 SW 143Rd LN
Miami, FL 33186-6021
Phone (941) 284-9301

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
I20220621001325 FL Practitioner - Nurse Practitioner 4385023498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Derm Group LLPGroup PAC ID 9335478908, 32 clinicians

Practice addresses (Care Compare)

4950 S Le Jeune Rd
Suite H
Coral Gables, FL 33146-2231
Phone (305) 239-5585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15-132COMDSurgical Assistant
11019562FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Derm Group LLP CurrentSince Jul 1, 2022 Accepting new patients

Locations

4950 S Le Jeune Rd
Ste H
Coral Gables, FL 33146
Phone (305) 239-5585

11760 SW 40th St
Ste 451
Miami, FL 33175
Phone (305) 227-9233

14601 SW 29th St
Ste 206
Miramar, FL 33027
Phone (954) 885-5551

11924 Forest Hill Blvd
Ste 10A411
Wellington, FL 33414

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1265889794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12271 SW 143RD LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866021",
            "telephone_number": "941-284-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 S LE JEUNE RD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462231",
            "telephone_number": "305-239-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISALEMA RIVAS",
        "first_name": "NIRZA",
        "middle_name": "VICTORIA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019562",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "15-132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.