Active NPI
Itza M Rivera, MD
- Physical Medicine & Rehabilitation Physician
- Orlando, FL
National Provider Identifier
1376734749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME134558
- Practice address
- 6735 Conroy Rd Ste 410
Orlando, FL 32835-3567 - Phone
- (407) 604-7053
- Fax
- (407) 550-3763
- NPI assigned
- Aug 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 17530 | PR | |
| Physical Medicine & Rehabilitation Physician | 208100000X | ME134558 | FL | Primary |
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | ME134558 | FL | |
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | 17530 | PR |
Addresses
Primary practice location
6735 Conroy Rd Ste 410
Orlando, FL 32835-3567
Mailing address
11954 Narcoossee Rd Ste 2-223
Orlando, FL 32832-6998
Phone (407) 604-7053
Other names 1
- Itza M Rivera Velazquez
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME134558 | FL | MD | Physical Medicine & Rehabilitation Physician |
| 17530 | PR | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica de Terapia Fisica Flamingo Terrace | Physical Medicine & Rehabilitation | Past | Accepting new patients |
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.
-
- Physical Medicine & Rehabilitation Physician
- Bayamon, PR
- NPI 1841345410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1376734749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11954 NARCOOSSEE RD STE 2-223",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328326998",
"telephone_number": "407-604-7053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6735 CONROY RD STE 410",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328353567",
"telephone_number": "407-604-7053",
"fax_number": "407-550-3763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ITZA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PR",
"license": "17530",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME134558",
"primary": true
},
{
"code": "2081N0008X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": "FL",
"license": "ME134558",
"primary": false
},
{
"code": "2081N0008X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": "PR",
"license": "17530",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ITZA",
"last_name": "RIVERA VELAZQUEZ",
"middle_name": "M",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.