Organization Active NPI

Florida Institute for Physical Rehabilitation, P.L.L.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Vero Beach, FL
National Provider Identifier
1285064790
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME109841 Issued in FL
Legal business name
FLORIDA INSTITUTE FOR PHYSICAL REHABILITATION, P.L.L.C.
Practice address
1986 35TH Ave
Vero Beach, FL 32960-2533
Phone
(772) 360-4306
Fax
(772) 380-4125
NPI assigned
Nov 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Dr. Miguel A Rivera, M.D.
Title
Owner
Phone
(772) 360-4306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X ME109841 FL Primary

Addresses

Primary practice location

1986 35TH Ave
Vero Beach, FL 32960-2533

Mailing address

PO Box 411373
Melbourne, FL 32941-1373
Phone (772) 360-4306

National Provider Directory

National Provider Directory

Locations

1986 35th Ave
Vero Beach, FL 32960
Phone (772) 562-7220

1850 37th St
Ste B
Vero Beach, FL 32960
Phone (772) 567-4500

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1285064790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411373",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329411373",
            "telephone_number": "772-360-4306",
            "fax_number": "772-380-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1986 35TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602533",
            "telephone_number": "772-360-4306",
            "fax_number": "772-380-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INSTITUTE FOR PHYSICAL REHABILITATION, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-360-4306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME109841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.