Individual provider Active NPI

Candice M Rivera Mendez, MD

  • General Practice Physician
  • Sanford, FL
National Provider Identifier
1477799674
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1018 Issued in FL
Practice address
2432 S French Ave
Sanford, FL 32771-4276
Phone
(407) 768-4464
Fax
(407) 878-0114
NPI assigned
Dec 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 19110 PR
General Practice Physician 208D00000X ACN1018 FL Primary

Addresses

Primary practice location

2432 S French Ave
Sanford, FL 32771-4276

Mailing address

6675 Westwood Blvd Ste 475
Orlando, FL 32821-6027
Phone (407) 845-0330

Other names 1

  • Candice Rivera Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151105001485 PR Practitioner - General Practice 9931415395 Practice locations: Isabela, PR
I20180314000307 FL Practitioner - General Practice 9931415395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Home Alliance, LLCGroup PAC ID 6406096536, 60 clinicians

Practice addresses (Care Compare)

2432 S French Ave
Sanford, FL 32771-4276
Phone (407) 845-0330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19110PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Family Medical Inc Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
Medical Home Alliance LLC Single Specialty CurrentSince Mar 19, 2021 Accepting new patients
Medical Home Alliance LLC Past Accepting new patients

Locations

931 W Oak St
Ste 103
Kissimmee, FL 34741
Phone (407) 922-4839

5425 S Semoran Blvd
Ste 7C
Orlando, FL 32822

6675 Westwood Blvd
Ste 475
Orlando, FL 32821
Phone (407) 845-0384

2432 S French Ave
Sanford, FL 32771
Phone (407) 768-4464

199 Avenue K SE
Winter Haven, FL 33880
Phone (563) 588-1424

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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 4

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": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1477799674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 WESTWOOD BLVD STE 475",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216027",
            "telephone_number": "407-845-0330",
            "fax_number": "888-972-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 S FRENCH AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327714276",
            "telephone_number": "407-768-4464",
            "fax_number": "407-878-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA MENDEZ",
        "first_name": "CANDICE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2023-06-02",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "19110",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "RIVERA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.