Active NPI
Antonio J Rivas, MPAS,PA-C
- Physician Assistant
- Miami, FL
National Provider Identifier
1346470267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9102220
- Practice address
- 14240 SW 29TH St
Miami, FL 33175-6544 - Phone
- (786) 263-2057
- NPI assigned
- Jul 27, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9102220 | FL | Primary |
Addresses
Primary practice location
14240 SW 29TH St
Miami, FL 33175-6544
Mailing address
2015 NW 1St Ave
Miami, FL 33127-4901
Phone (305) 572-2026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA 9102220 | Other | FL | PA LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9102220 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248652800000",
"number": "1346470267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 NW 1ST AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331274901",
"telephone_number": "305-572-2026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14240 SW 29TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331756544",
"telephone_number": "786-263-2057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "ANTONIO",
"middle_name": "J",
"credential": "MPAS,PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-27",
"last_updated": "2009-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9102220",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "PA 9102220",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.