Individual provider Active NPI

Manuel Rivero Jr., APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1740944453
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11019732 Issued in FL
Practice address
8955 SW 87TH CT Ste 112
Miami, FL 33176-2264
Phone
(786) 840-3454
NPI assigned
Oct 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11019732 FL Primary

Addresses

Primary practice location

8955 SW 87TH CT Ste 112
Miami, FL 33176-2264

Mailing address

8765 NW 110TH St
Hialeah Gardens, FL 33018-4510
Phone (786) 389-2691

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
I20220617001732 FL Practitioner - Nurse Practitioner 2769688274 Reassigns benefits to 2 organizations
Practice locations: Hialeah Gardens, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical and Behavioral Health Services LLCGroup PAC ID 0840666103, 4 clinicians

Practice addresses (Care Compare)

Hialeah Gardens, FL 33018
Phone (786) 389-2691

8955 SW 87TH CT
Suite 212
Miami, FL 33176-2223
Phone (786) 840-3454

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11019732FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Mental Health Group Psychiatric/Mental Health CurrentSince May 1, 2023 Accepting new patients
Medical and Behavioral Health Services LLC CurrentSince Sep 23, 2022 Accepting new patients
Laura J Parodi LLC Past Accepting new patients
Maria I Lopez MD PA Past Accepting new patients

Locations

8955 SW 87th Ct
Ste 112
Miami, FL 33176
Phone (305) 596-0600

8955 SW 87th Ct
Ste 212
Miami, FL 33176
Phone (305) 412-1967

Organizations & group practices 4

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": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1740944453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 NW 110TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184510",
            "telephone_number": "786-389-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 SW 87TH CT STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762264",
            "telephone_number": "786-840-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO",
        "first_name": "MANUEL",
        "name_suffix": "Jr.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-28",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11019732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.