Juan I Rivera

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME050857 Issued in FL

Legal business name

JUAN I RIVERA

Practice address

315 E Olympia Ave
111
Punta Gorda, FL 33950-3833

Phone

(941) 639-1640

Fax

(941) 637-9808

NPI assigned

Jul 30, 2007

Last updated

Jan 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan I Rivera, M.D.NPI 1275521023

Title

Owner

Phone

(941) 639-1640

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan I Rivera, M.D.

  • Family Medicine Physician
  • Punta Gorda, FL
  • NPI 1275521023
  Authorized official Same address or phone

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1396935037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E OLYMPIA AVE # 111",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503833",
            "telephone_number": "941-639-1640",
            "fax_number": "941-637-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E OLYMPIA AVE",
            "address_2": "111",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503833",
            "telephone_number": "941-639-1640",
            "fax_number": "941-637-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN I RIVERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-639-1640",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME050857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072052600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah N. Johnson, DDS
• Jonathan M Frantz, MD PA
• Alexandra Rose Jones
• Joyce Grace DC LLC (Affordable Chiropractic)
• Douglas H Joyce
• Sheryl Anne Kai, RD
• Herbert Kalen, NP-C
• Kathleen Ann Kaloski, ARNP
• Kamipractics, Inc.
• Stanley Kapuchinski, M.D.

• Family Medicine Physician in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.