Riverside Senior Care Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

A10867 Issued in FL

Legal business name

RIVERSIDE SENIOR CARE INC

Practice address

22712 SW 103Rd CT
Cutler Bay, FL 33190-1778

Phone

(305) 528-6347

Fax

(305) 528-6347

NPI assigned

Aug 29, 2008

Organization subpart

No

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

Authorized official

Name

Jose Garcia

Title

Presidente

Phone

(305) 528-6347

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1649428947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22712 SW 103RD CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901778",
            "telephone_number": "305-528-6347",
            "fax_number": "305-528-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22712 SW 103RD CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901778",
            "telephone_number": "305-528-6347",
            "fax_number": "305-528-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE SENIOR CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "305-528-6347"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "A10867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143053000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agne Rivero Carabeo
• Karen Rivero Fuentes
• Tatiana Rivero Gomez
• Yenifer Cati Rivero, R162963829270
• Moises Antonio Riveron, MD
• Tamy Mirelys Robaina Herrera
• Maria Carla Robaina, RBT
• Sheila Robinson
• Isbet Mariana Roca Salazar
• Midorys Vivian Roche Salazar

• Assisted Living Facility in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.