Individual provider Active NPI

Julio Caridad Rivero Venereo

  • Family Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1720658586
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05210328 Issued in FL
Practice address
2828 Coral Way Ste 103
Coral Gables, FL 33145-3214
Phone
(305) 600-5041
NPI assigned
Jun 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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 F05210328 FL Primary

Addresses

Primary practice location

2828 Coral Way Ste 103
Coral Gables, FL 33145-3214

Mailing address

2828 Coral Way Ste 103
Coral Gables, FL 33145-3214
Phone (305) 600-5041

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
F05210328FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1720658586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 CORAL WAY STE 103",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453214",
            "telephone_number": "305-600-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 CORAL WAY STE 103",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453214",
            "telephone_number": "305-600-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO VENEREO",
        "first_name": "JULIO",
        "middle_name": "CARIDAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F05210328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.