Active NPI
Gaudys Rivas
- Community Health Worker
- Hialeah, FL
National Provider Identifier
1720369879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- OT-0005159
- Practice address
- 6269 NW 171St St
Hialeah, FL 33015-4622 - Phone
- (305) 469-3232
- NPI assigned
- Sep 2, 2011
- Last updated
- Sep 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | OT-0005159 | FL | Primary |
Addresses
Primary practice location
6269 NW 171St St
Hialeah, FL 33015-4622
Mailing address
6269 NW 171 St
Miami Lake, FL 33015
Phone (305) 469-3232
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT-0005159 | FL | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal | Past | Accepting new patients | |
| Universal Medical Services Corp. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Hialeah, FL
- NPI 1548479603
-
- Specialist
- Miami, FL
- NPI 1760461248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1720369879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6269 NW 171 ST",
"city": "MIAMI LAKE",
"state": "FL",
"postal_code": "33015",
"telephone_number": "305-469-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6269 NW 171ST ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330154622",
"telephone_number": "305-469-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "GAUDYS",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-02",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "FL",
"license": "OT-0005159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.