Individual provider Active NPI

Liudmila Prieto Rivero

  • Family Nurse Practitioner
  • Doral, FL
National Provider Identifier
1689226219
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11003157 Issued in FL
Practice address
9250 NW 36TH St Ste 420
Doral, FL 33178-2775
Phone
(305) 266-2929
NPI assigned
Jul 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11003157 FL Primary

Addresses

Primary practice location

9250 NW 36TH St Ste 420
Doral, FL 33178-2775

Mailing address

1705 SW 85TH Ave
Miami, FL 33155-1012
Phone (786) 318-9542

Other practice location 1

900 W 49th St Ste 101
Hialeah, FL 33012-3441
Phone (305) 266-2929

Other practice location 2

17820 SW 111th Ave
Miami, FL 33157-5005
Phone (786) 318-9542

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address liudmila.prieto@centrumhealthfamily.com Health Information Exchange (HIE) Centrum Medical Holdings, LLC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211025000135 FL Practitioner - Nurse Practitioner 0143618116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centrum Medical Holdings, LLCGroup PAC ID 8820422991, 51 clinicians

Practice addresses (Care Compare)

7200 NW 7TH St
Suite 150
Miami, FL 33126-2941
Phone (305) 266-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum Medical Holdings, LLC Current Accepting new patients
Centrum Medical Holdings, LLC CurrentSince Oct 1, 2021 Accepting new patients
Medcare Centers, LLC CurrentSince May 8, 2024 Accepting new patients
Med Care Centers LLC Current Accepting new patients
Centrum Medical Centers Kendall, LLC CurrentSince Oct 1, 2021 Accepting new patients
Medcare Centers, LLC CurrentSince May 8, 2024 Accepting new patients

Locations

10980 SW 184th St
Cutler Bay, FL 33157
Phone (305) 266-2928

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

900 W 49th St
Ste 101
Hialeah, FL 33012

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

5730 SW 74th St
Ste 200
South Miami, FL 33143

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1689226219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 SW 85TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551012",
            "telephone_number": "786-318-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 NW 36TH ST STE 420",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782775",
            "telephone_number": "305-266-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 W 49th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123441",
            "country_code": "US",
            "telephone_number": "305-266-2929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17820 SW 111th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331575005",
            "country_code": "US",
            "telephone_number": "786-318-9542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIETO RIVERO",
        "first_name": "LIUDMILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-13",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "liudmila.prieto@centrumhealthfamily.com",
            "affiliation": "Y",
            "endpointDescription": "Company Email",
            "affiliationName": "Centrum Medical Holdings, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9250 NW 36th St Ste 420",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331782775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.