Active NPI
Luis a Rives MD LLC
- Psychiatry Physician
- Naples, FL
National Provider Identifier
1376500744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME70436
- Legal business name
- LUIS A RIVES MD LLC
- Practice address
- 2430 Vanderbilt Beach Rd Ste 108-273
Naples, FL 34109 - Phone
- (239) 287-1493
- Fax
- (239) 244-9357
- NPI assigned
- Apr 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sharon E Diaz
- Title
- Practice Manager
- Phone
- (239) 287-1493
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME70436 | FL | Primary |
Addresses
Primary practice location
2430 Vanderbilt Beach Rd Ste 108-273
Naples, FL 34109
Mailing address
2430 Vanderbilt Beach Rd Ste 108-273
Naples, FL 34109-2654
Phone (239) 287-1493
Other practice location 1
2180 Immokalee Rd
Suite 216
Naples, FL 34110-1421
Phone (239) 287-1493
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA5324 | Other | FL | MEDICARE RAILROAD |
| R1SK1 | Other | FL | FLORIDA BLUE GROUP NUMBER |
| 261295000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
14180 Metropolis Ave
Ste 2
Fort Myers, FL 33912
Phone (239) 225-0874
2430 Vanderbilt Beach Rd
Ste 108273
Naples, FL 34109
Phone (239) 287-1493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564963200000",
"number": "1376500744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 VANDERBILT BEACH RD STE 108-273",
"city": "NAPLES",
"state": "FL",
"postal_code": "341092654",
"telephone_number": "239-287-1493",
"fax_number": "239-244-9357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 VANDERBILT BEACH RD STE 108-273",
"city": "NAPLES",
"state": "FL",
"postal_code": "34109",
"telephone_number": "239-287-1493",
"fax_number": "239-244-9357"
}
],
"practiceLocations": [
{
"address_1": "2180 Immokalee Rd",
"address_2": "SUITE 216",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341101421",
"country_code": "US",
"telephone_number": "239-287-1493",
"fax_number": "239-244-9357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LUIS A RIVES MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-28",
"last_updated": "2019-08-05",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "239-287-1493",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME70436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DA5324",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE GROUP NUMBER",
"identifier": "R1SK1",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261295000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.