Individual provider Active NPI

Alberto Bermudez Rivero

  • Nurse Practitioner
  • Lehigh Acres, FL
National Provider Identifier
1639082886
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11050174 Issued in FL
Practice address
2900 26TH St SW
Lehigh Acres, FL 33976-4071
Phone
(239) 544-0459
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11050174 FL Primary

Addresses

Primary practice location

2900 26TH St SW
Lehigh Acres, FL 33976-4071

Mailing address

2900 26TH St SW
Lehigh Acres, FL 33976-4071
Phone (230) 544-0459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1639082886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 26TH ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339764071",
            "telephone_number": "230-544-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 26TH ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339764071",
            "telephone_number": "239-544-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ RIVERO",
        "first_name": "ALBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11050174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.