Organization Active NPI

Roger Rivera NP PLLC

Doing business as Mente Suave Psychiatry & Medicine

  • Psychiatric/Mental Health Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1801593801
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ROGER RIVERA NP PLLC
Doing business as
Mente Suave Psychiatry & Medicine
Practice address
3495 W Vine St
Kissimmee, FL 34741-4668
Phone
(407) 753-1500
Fax
(321) 710-1767
NPI assigned
Feb 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Roger Rivera, APRN
Title
Ceo
Phone
(407) 753-1500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3495 W Vine St
Kissimmee, FL 34741-4668

Mailing address

3495 W Vine St
Kissimmee, FL 34741-4668
Phone (407) 753-1500

Other names 1

  • Mente Suave Psychiatry & Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

3495 W Vine St
Kissimmee, FL 34741
Phone (407) 753-1500

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1801593801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 W VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414668",
            "telephone_number": "407-753-1500",
            "fax_number": "321-710-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 W VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414668",
            "telephone_number": "407-753-1500",
            "fax_number": "321-710-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER RIVERA NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-753-1500",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mente Suave Psychiatry & Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.