Active NPI
Rivas Medical Centers Group
- Clinic/Center
- Miami, FL
National Provider Identifier
1508259078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- RIVAS MEDICAL CENTERS GROUP
- Practice address
- 11010 SW 88TH St
Suite 104
Miami, FL 33176-1216 - Phone
- (786) 615-4868
- Fax
- (786) 615-4850
- NPI assigned
- Mar 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Agustin Rivas, MD
- Title
- President
- Phone
- (256) 412-0478
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
11010 SW 88TH St
Suite 104
Miami, FL 33176-1216
Mailing address
11010 SW 88TH St
Suite 104
Miami, FL 33176-1216
Phone (786) 615-4868
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425859200000",
"number": "1508259078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11010 SW 88TH ST",
"address_2": "SUITE 104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761216",
"telephone_number": "786-615-4868",
"fax_number": "786-615-4850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11010 SW 88TH ST",
"address_2": "SUITE 104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761216",
"telephone_number": "786-615-4868",
"fax_number": "786-615-4850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVAS MEDICAL CENTERS GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-09",
"last_updated": "2015-03-09",
"status": "A",
"authorized_official_last_name": "RIVAS",
"authorized_official_first_name": "AGUSTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-412-0478",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"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 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.