Organization Active NPI

Riverval MD Inc

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1477948222
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RIVERVAL MD INC
Practice address
14551 SW 10TH St
Miami, FL 33184-3115
Phone
(305) 519-1334
Fax
(305) 228-8372
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Homero Rivero, MDNPI 1275573495
Title
President
Phone
(305) 519-1334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

14551 SW 10TH St
Miami, FL 33184-3115

Mailing address

14551 SW 10TH St
Miami, FL 33184-3115
Phone (305) 519-1334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160308000095 FL Part B Supplier - Clinic/Group Practice 2668778325 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1477948222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14551 SW 10TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843115",
            "telephone_number": "305-519-1334",
            "fax_number": "305-228-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14551 SW 10TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843115",
            "telephone_number": "305-519-1334",
            "fax_number": "305-228-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVAL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "RIVERO",
        "authorized_official_first_name": "HOMERO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-519-1334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.