Active NPI
Marc L Rivo, M.D.
- Family Medicine Physician
- Doral, FL
National Provider Identifier
1306162433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME70493
- Practice address
- 9064 NW 13TH Ter
Doral, FL 33172-2907 - Phone
- (305) 801-6989
- Fax
- (866) 954-9593
- NPI assigned
- Apr 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME70493 | FL | Primary |
Addresses
Primary practice location
9064 NW 13TH Ter
Doral, FL 33172-2907
Mailing address
4566 Prairie Ave
Miami Beach, FL 33140-3005
Phone (305) 801-6989
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME70493 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1306162433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4566 PRAIRIE AVE",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331403005",
"telephone_number": "305-801-6989",
"fax_number": "866-954-9593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9064 NW 13TH TER",
"city": "DORAL",
"state": "FL",
"postal_code": "331722907",
"telephone_number": "305-801-6989",
"fax_number": "866-954-9593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVO",
"first_name": "MARC",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-14",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME70493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.