Individual provider Active NPI

Elvira J Rives, MD

  • Pediatrics Physician
  • Miami Lakes, FL
National Provider Identifier
1619900610
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M0073603 Issued in FL
Practice address
14505 Commerce Way
Suite 800
Miami Lakes, FL 33016
Phone
(305) 821-8861
Fax
(305) 821-8783
NPI assigned
Jul 10, 2006
Last updated
Oct 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M0073603 FL Primary

Addresses

Primary practice location

14505 Commerce Way
Suite 800
Miami Lakes, FL 33016

Mailing address

14505 Commerce Way
Suite 800
Miami Lakes, FL 33016
Phone (305) 821-8861

Other identifiers 1

IdentifierTypeStateIssuer
254703100MedicaidFL

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308002594 FL Practitioner - Pediatric Medicine 6204272511 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0073603FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Healthcare Holdings, LLLP CurrentSince Feb 20, 2024 Accepting new patients
Hoover Family Medicine PA PastSince Feb 20, 2024 Accepting new patients
Premium Healthcare Holdings, LLLP PastSince Nov 13, 2022 Accepting new patients

Locations

2400 SW 69th Ave
Miami, FL 33155
Phone (305) 413-5070

2400 SW 69th Ave
Ste 100
Miami, FL 33155

6850 Coral Way
Miami, FL 33155
Phone (305) 665-8205

14361 Commerce Way
Ste 103
Miami Lakes, FL 33016

14505 Commerce Way
Ste 800
Miami Lakes, FL 33016
Phone (305) 821-8861

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1619900610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14505 COMMERCE WAY",
            "address_2": "SUITE 800",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-821-8861",
            "fax_number": "305-821-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14505 COMMERCE WAY",
            "address_2": "SUITE 800",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-821-8861",
            "fax_number": "305-821-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVES",
        "first_name": "ELVIRA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "M0073603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254703100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.