Individual provider Active NPI

Heriberto Rivera, MSOM

  • Health & Wellness Coach
  • Orlando, FL
National Provider Identifier
1427870476
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
11251 S Orange Blossom TRL Ste 101
Orlando, FL 32837-9297
Phone
(407) 501-6841
Fax
(407) 542-2243
NPI assigned
Oct 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Primary

Addresses

Primary practice location

11251 S Orange Blossom TRL Ste 101
Orlando, FL 32837-9297

Mailing address

11251 S Orange Blossom TRL Ste 101
Orlando, FL 32837-9297
Phone (407) 501-6841

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Integrative Medicine of Orlando Current Accepting new patients
Family Integrative Medicine , LLC Current Accepting new patients

Locations

11251 S Orange Blossom Trl
Ste 101
Orlando, FL 32837
Phone (407) 501-6841

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.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1427870476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11251 S ORANGE BLOSSOM TRL STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379297",
            "telephone_number": "407-501-6841",
            "fax_number": "407-542-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11251 S ORANGE BLOSSOM TRL STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379297",
            "telephone_number": "407-501-6841",
            "fax_number": "407-542-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "HERIBERTO",
        "credential": "MSOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 30, 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.