Active NPI
Ruben Jose Rivera Rivera, M.D.
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Cocoa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- ME155060
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, IncAbility Health Services and Rehabilitation LP
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME155060 | FL | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| 22370 | PR | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Brevard Medical Support, Inc | Current | Accepting new patients | |
| Luis Alfredo Guerrero MD PLLC | Sports Medicine | Current | 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.
-
dba DRG Pain & Orthopedics
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Leesburg, FL
- NPI 1891290938
-
dba Parrish Medical Group
- Multi-Specialty Clinic/Center
- Titusville, FL
- NPI 1609834886
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Waterman
- General Acute Care Hospital
- Tavares, FL
- NPI 1821019571
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
dba Orlando Health South Lake Hospital
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.