Organization Active NPI

Luis a Rives MD LLC

  • Psychiatry Physician
  • Naples, FL
National Provider Identifier
1376500744
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME70436 Issued in FL
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

Updated by the provider on Aug 5, 2019

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DA5324OtherFLMEDICARE RAILROAD
R1SK1OtherFLFLORIDA BLUE GROUP NUMBER
261295000MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.