Liliam Rivero Fundora, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11008302 Issued in FL

Practice address

13885 SW 260TH St
Homestead, FL 33032-6722

Phone

(786) 675-0722

NPI assigned

Aug 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

PHP Mental Health Center IncGroup PAC ID 9830535939, 8 clinicians

Family Health Community IncGroup PAC ID 3577964956, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Family Health Community Inc

  • Community/Behavioral Health Agency
  • Doral, FL
  • NPI 1851994628
  Medicare reassignment Care Compare group NPD
• PHP Mental Health Center Inc

  • Community/Behavioral Health Agency
  • Cutler Bay, FL
  • NPI 1821876343
  Medicare reassignment Care Compare group NPD
• Social Advance Corp

  dba Advance Mental Health Community

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Florida City, FL
  • NPI 1093272296
  Medicare reassignment NPD
• Ohana Medical Center, LLC

  • Multi-Specialty Clinic/Center
  • Homestead, FL
  • NPI 1073403119
  NPD

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1609486943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13885 SW 260TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326722",
            "telephone_number": "786-675-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13885 SW 260TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326722",
            "telephone_number": "786-675-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO FUNDORA",
        "first_name": "LILIAM",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11008302",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Rivera
• Victor A Rivera Jr., RBT
• Yan A Rivera
• Carlos Ernesto Rivero Carvajal
• Leidy Rivero Carvajal
• Andre Rivero Guevara, PA
• Aradelis Silex Rivero Lemes
• Liober Y Rivero Rey
• Daniella Rivero
• Nathalie Rivero, DMD

• Family Nurse Practitioner in Homestead, FL
• Providers in Homestead, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.