Individual provider Active NPI

Pedro Marcel Rivero Gort, APRN FNP-BC

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1679210678
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-352829 Issued in FL
Practice address
21660 SW 131St CT
Miami, FL 33170-2667
Phone
(786) 444-4976
NPI assigned
May 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-352829 FL Primary
Family Nurse Practitioner 363LF0000X 2022009455 FL

Addresses

Primary practice location

21660 SW 131St CT
Miami, FL 33170-2667

Mailing address

21660 SW 131St CT
Miami, FL 33170-2667
Phone (786) 444-4976

Other practice location 1

6447 Miami Lakes Dr E Ste 206
Miami Lakes, FL 33014-2762
Phone (305) 640-5739

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-24-352829FLMDBehavior Technician
2022009455FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1679210678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21660 SW 131ST CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331702667",
            "telephone_number": "786-444-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21660 SW 131ST CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331702667",
            "telephone_number": "786-444-4976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6447 Miami Lakes Dr E Ste 206",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142762",
            "country_code": "US",
            "telephone_number": "305-640-5739",
            "fax_number": "305-640-5698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERO GORT",
        "first_name": "PEDRO",
        "middle_name": "MARCEL",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-352829",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2022009455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.