Individual provider Active NPI

Luis Eduardo Rivera, DPM

  • Podiatrist
  • Hialeah, FL
National Provider Identifier
1336837541
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4628 Issued in FL
Practice address
3410 W 84TH St Ste 100
Hialeah, FL 33018-4906
Phone
(954) 649-3573
NPI assigned
Apr 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X PO4628 FL Primary

Addresses

Primary practice location

3410 W 84TH St Ste 100
Hialeah, FL 33018-4906

Mailing address

1242 NW 137TH Ave
Pembroke Pines, FL 33028-2330
Phone (954) 649-3573

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250724002025 FL Practitioner - Podiatry 8820505944 Reassigns benefits to 1 organization
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4628FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellux Medical and Aesthetics Group, LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

6099 Stirling Rd
Ste 223
Davie, FL 33314
Phone (954) 283-0405

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBDAED

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1336837541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 NW 137TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282330",
            "telephone_number": "954-649-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 W 84TH ST STE 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184906",
            "telephone_number": "954-649-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LUIS",
        "middle_name": "EDUARDO",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-26",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.