Individual provider Active NPI

Mindy Ruby Rivas

  • Family Nurse Practitioner
  • Miami Gardens, FL
National Provider Identifier
1326715418
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006610 Issued in FL
Practice address
19251 NW 52ND CT
Miami Gardens, FL 33055-1632
Phone
(786) 838-6477
NPI assigned
Aug 26, 2021
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11006610 FL Primary

Addresses

Primary practice location

19251 NW 52ND CT
Miami Gardens, FL 33055-1632

Mailing address

19251 NW 52ND CT
Miami Gardens, FL 33055-1632
Phone (786) 838-6477

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
I20220324001304 FL Practitioner - Nurse Practitioner 0042605263 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inphynet Contracting Services LLCGroup PAC ID 7416865811, 169 clinicians
Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians

Practice addresses (Care Compare)

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-2000

4741 S University Dr
Davie, FL 33328-3819
Phone (954) 837-1050

6264 W Sample Rd
Suite 100
Coral Springs, FL 33067-3273
Phone (954) 837-1020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11006610FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Contracting Services LLC CurrentSince Dec 1, 2024 Accepting new patients
Criticare Clinics Inc CurrentSince Dec 21, 2021 Accepting new patients
Inphynet South Broward LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1326715418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19251 NW 52ND CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551632",
            "telephone_number": "786-838-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19251 NW 52ND CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551632",
            "telephone_number": "786-838-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "MINDY",
        "middle_name": "RUBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.