Carlos Manuel Rivero Gonzalez

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11028085 Issued in FL

Practice address

760 NW 107TH Ave Ste 110a
Miami, FL 33172-3155

Phone

(786) 567-1710

NPI assigned

Aug 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• RF Dreams Trading LLC

  • In Home Supportive Care Agency
  • Miami, FL
  • NPI 1558061705

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

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.

• RF Dreams Trading LLC

  • In Home Supportive Care Agency
  • Miami, FL
  • NPI 1558061705
  Medicare reassignment NPD Authorized official
• RF Dreams Trading LLC

  • Clinic/Center
  • Miami, FL
  • NPI 1073319901
  NPD Authorized official
• RF Mental Health Services LLC

  • Clinic/Center
  • Miami, FL
  • NPI 1457957540
  NPD

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1326694647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SW 129TH PL APT 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842117",
            "telephone_number": "786-567-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 NW 107TH AVE STE 110A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723155",
            "telephone_number": "786-567-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO GONZALEZ",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9484541",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11028085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberto Rivero Fundora, MT
• Jose Salvador Rivero Garcia
• Orietta Rivero Garrido
• Anelys Rivero Gonzalez
• Anny Rivero Gonzalez
• Osvaldo E Rivero Gonzalez
• Pedro Marcel Rivero Gort, APRN FNP-BC
• Rivero Group Homes Inc
• Ibeth Rivero Guanche
• Rivero Health Care

• Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.