Organization Active NPI

Riverland Medical Centers, Inc

  • Multi-Specialty Clinic/Center
  • Ft Lauderdale, FL
National Provider Identifier
1396883807
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
RIVERLAND MEDICAL CENTERS, INC
Practice address
2774 Davie Blvd
Ft Lauderdale, FL 33312-2927
Phone
(954) 791-5184
Fax
(954) 791-3458
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Carolina G Luna
Title
Owner
Phone
(954) 612-0293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X FL Primary

Addresses

Primary practice location

2774 Davie Blvd
Ft Lauderdale, FL 33312-2927

Mailing address

2774 Davie Blvd
Ft Lauderdale, FL 33312-2927
Phone (954) 791-5184

Other identifiers 1

IdentifierTypeStateIssuer
377055900MedicaidFL

National Provider Directory

National Provider Directory

Locations

2774 Davie Blvd
Ft Lauderdale, FL 33312
Phone (954) 791-3458

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1396883807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2774 DAVIE BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122927",
            "telephone_number": "954-791-5184",
            "fax_number": "954-791-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2774 DAVIE BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122927",
            "telephone_number": "954-791-5184",
            "fax_number": "954-791-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERLAND MEDICAL CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-612-0293"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377055900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.