Individual provider Active NPI

Ruben Jose Rivera Rivera, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Cocoa, FL
National Provider Identifier
1639565955
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
ME155060 Issued in FL
Practice address
5005 Port St John Pkwy
Cocoa, FL 32927-4305
Phone
(321) 268-6868
Fax
(321) 268-6196
NPI assigned
Apr 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X ME155060 FL Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 22370 PR

Addresses

Primary practice location

5005 Port St John Pkwy
Cocoa, FL 32927-4305

Mailing address

8112 Centralia CT Ste 101
Leesburg, FL 34788-3701
Phone (352) 251-2588

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
I20260618002411 FL Practitioner - Sports Medicine 1557757606

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME155060FLMDSports Medicine (Physical Medicine & Rehabilitation) Physician
22370PRMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Brevard Medical Support, Inc CurrentSince Jul 13, 2026 Accepting new patients
Luis Alfredo Guerrero MD PLLC Sports Medicine CurrentSince Nov 1, 2025 Accepting new patients

Locations

8112 Centralia Ct
Ste 101
Leesburg, FL 34788
Phone (305) 298-9873

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

5005 Port St John Pkwy
Ste 2100
Port St John, FL 32927
Phone (321) 268-6834

8640 E County Road 466
Ste A
The Villages, FL 32162
Phone (352) 205-7923

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1639565955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 CENTRALIA CT STE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883701",
            "telephone_number": "352-251-2588",
            "fax_number": "407-930-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 PORT ST JOHN PKWY",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329274305",
            "telephone_number": "321-268-6868",
            "fax_number": "321-268-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA RIVERA",
        "first_name": "RUBEN",
        "middle_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "ME155060",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PR",
            "license": "22370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

Verify at the official NPI Registry.