Individual provider Active NPI

Patricia Ortiz Riveron, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1417426222
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000243 Issued in FL
Practice address
16790 NW 75TH Ave
Hialeah, FL 33015-4143
Phone
(786) 452-3211
NPI assigned
Nov 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN11000243 FL Primary

Addresses

Primary practice location

16790 NW 75TH Ave
Hialeah, FL 33015-4143

Mailing address

16790 NW 75TH Ave
Hialeah, FL 33015-4143
Phone (786) 452-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220713003898 FL Practitioner - Nurse Practitioner 5193106714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetes and Wound Care Network IncGroup PAC ID 9537445200, 2 clinicians

Practice addresses (Care Compare)

16790 NW 75TH Ave
Hialeah, FL 33015-4143
Phone (786) 452-3211

777 E 25TH St
Suite 516
Hialeah, FL 33013-3834
Phone (305) 889-6670

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11000243FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes and Wound Care Network Inc Single Specialty CurrentSince Sep 21, 2022 Accepting new patients
Ortiz Care & Love PA Single Specialty CurrentSince Apr 9, 2022 Accepting new patients

Locations

777 E 25th St
Ste 516
Hialeah, FL 33013
Phone (305) 889-6670

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1417426222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16790 NW 75TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154143",
            "telephone_number": "786-452-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16790 NW 75TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154143",
            "telephone_number": "786-452-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ RIVERON",
        "first_name": "PATRICIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.