Individual provider Active NPI

Carlos E Rivera, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Miami, FL
National Provider Identifier
1356459630
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME0053431 Issued in FL
Practice address
8260 W Flagler St
Ste 1H
Miami, FL 33144-2069
Phone
(305) 220-5191
Fax
(877) 795-5172
NPI assigned
Aug 28, 2006
Last updated
Sep 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME0053431 FL Primary

Addresses

Primary practice location

8260 W Flagler St
Ste 1H
Miami, FL 33144-2069

Mailing address

8260 W Flagler St Ste 1H
Miami, FL 33144-2069
Phone (305) 220-5191

Other identifiers 1

IdentifierTypeStateIssuer
037589600MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111012000107 FL Practitioner - Endocrinology 1759553910 Reassigns benefits to 4 organizations
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8260 W Flager St
Miami, FL 33144-2069
Phone (305) 220-5191

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Health Center LLC Endocrinology, Diabetes & Metabolism CurrentSince Jan 1, 2024 Accepting new patients
South Health LLC Endocrinology, Diabetes & Metabolism CurrentSince Jun 15, 2024 Accepting new patients
Golden Gate Medical Group Corp Endocrinology, Diabetes & Metabolism CurrentSince Apr 19, 2023 Accepting new patients
El Retiro Medical Center Corp Endocrinology, Diabetes & Metabolism CurrentSince Mar 1, 2023 Accepting new patients
Carlos E Rivera PastSince Jun 6, 1988 Accepting new patients

Locations

5068 Annunciation Cir
Unit 111
Ave Maria, FL 34142
Phone (239) 304-0054

5511 S Congress Ave
Ste 101
Lake Worth, FL 33462
Phone (561) 469-7190

1818 W Flagler St
Miami, FL 33135
Phone (754) 208-9566

1818 W Flagler St
Ste 300
Miami, FL 33135
Phone (786) 755-2891

5673 SW 137th Ave
Miami, FL 33183
Phone (305) 385-3949

Interoperability endpoints

  • Direct secure messaging: riveradrcarlose.carloserivera@114251.advancedmd-direct.com

Organizations & group practices 5

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1356459630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST STE 1H",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "305-220-5191",
            "fax_number": "877-795-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST",
            "address_2": "STE 1H",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "305-220-5191",
            "fax_number": "877-795-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "CARLOS",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME0053431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037589600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.