Active NPI
Eugene Albert Rivera, M.D.
- Otolaryngology Physician
- Miami, FL
National Provider Identifier
1275534984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME50085
- Practice address
- 8940 N Kendall Dr
# 504E
Miami, FL 33176-2148 - Phone
- (305) 595-6200
- Fax
- (786) 533-1680
- NPI assigned
- Aug 3, 2005
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME50085 | FL | Primary |
Addresses
Primary practice location
8940 N Kendall Dr
# 504E
Miami, FL 33176-2148
Mailing address
8940 N Kendall Dr
# 504E
Miami, FL 33176-2148
Phone (305) 595-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047424000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida ENT Associates, Inc. | Otolaryngology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Boca Raton, FL
- NPI 1760682231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1275534984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8940 N KENDALL DR",
"address_2": "# 504E",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762148",
"telephone_number": "305-595-6200",
"fax_number": "786-533-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8940 N KENDALL DR",
"address_2": "# 504E",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762148",
"telephone_number": "305-595-6200",
"fax_number": "786-533-1680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "EUGENE",
"middle_name": "ALBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME50085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047424000",
"state": "FL"
}
],
"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 Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.