Individual provider Active NPI

Osler FC Rivas, MD

  • Specialist
  • Pensacola, FL
National Provider Identifier
1699989707
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
45909 Issued in FL
Practice address
3960 W Navy Blvd
Unit 2
Pensacola, FL 32507-1265
Phone
(850) 453-9368
Fax
(850) 453-9319
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 45909 FL Primary

Addresses

Primary practice location

3960 W Navy Blvd
Unit 2
Pensacola, FL 32507-1265

Mailing address

4470 Spanish TRL
Apt. 121
Pensacola, FL 32504-4903
Phone (850) 453-9368

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45909FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
St Augustine Physicians Associates Inc PastSince Jul 1, 1996 Accepting new patients
Teddy Garcia MD PA Past Accepting new patients
Meadowlands Medical Center, PA PastSince Mar 16, 2001 Accepting new patients

Organizations & group practices 3

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699989707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 SPANISH TRL",
            "address_2": "APT. 121",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044903",
            "telephone_number": "850-453-9368",
            "fax_number": "850-453-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 W NAVY BLVD",
            "address_2": "UNIT 2",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325071265",
            "telephone_number": "850-453-9368",
            "fax_number": "850-453-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "OSLER",
        "middle_name": "FC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "45909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.