Daniel Rivero de Jesus, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1626 Issued in FL

Practice address

1050 W Carroll St
Kissimmee, FL 34741-1268

Phone

(407) 518-0078

Fax

(407) 518-0094

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Family Tree Medical Group, PA

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1609243989
  NPD
• PMG Cardiology Inc

  • Pediatric Cardiology Physician
  • Sunrise, FL
  • NPI 1972522100
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1730289505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 LAMBERT LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328256355",
            "telephone_number": "787-344-1968",
            "fax_number": "787-344-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W CARROLL ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347411268",
            "telephone_number": "407-518-0078",
            "fax_number": "407-518-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1804 Oakley Seaver Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347111925",
            "country_code": "US",
            "telephone_number": "352-242-1021",
            "fax_number": "352-242-1104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 North Blvd W",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338378990",
            "country_code": "US",
            "telephone_number": "863-419-0688",
            "fax_number": "863-419-9547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 Cypress Glen Cir",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347417560",
            "country_code": "US",
            "telephone_number": "407-483-3200",
            "fax_number": "407-483-3220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERO DE JESUS",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13796",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122679400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rochelle Victoria Rivera
• Roger Rivera, DNP
• Vanessa I Rivera
• Xenia Rivera
• Yadira Rivero Cordero
• Sofia Isabel Rivero Miranda
• Jesus Rene Rivero, LMHC
• Coretta Rivers
• Hernan Ronny Rizo
• Wesley Roach

• General Practice Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.