Individual provider Active NPI

Marilia Rivera-Rios, M.D.

  • Emergency Medicine Physician
  • Davie, FL
National Provider Identifier
1801833249
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD19556 Issued in ME
Practice address
12041 SW 32ND St
Davie, FL 33330-1619
Phone
(954) 809-5031
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 46724 AZ
Emergency Medicine Physician 207P00000X ME111196 FL
Emergency Medicine Physician 207P00000X MD-44206 IA
Emergency Medicine Physician 207P00000X 42709 KY
Emergency Medicine Physician 207P00000X 4302072392 MI
Emergency Medicine Physician 207P00000X MD2008-0401 NM
Emergency Medicine Physician 207P00000X 007338 PR
Emergency Medicine Physician 207P00000X 26169 WV
Emergency Medicine Physician 207P00000X 27760 TN
Emergency Medicine Physician 207P00000X 35.122508 OH
Emergency Medicine Physician 207P00000X MD19556 ME Primary

Addresses

Primary practice location

12041 SW 32ND St
Davie, FL 33330-1619

Mailing address

12041 SW 32ND St
Davie, FL 33330-1619
Phone (954) 809-5031

Other identifiers 5

IdentifierTypeStateIssuer
4016617OtherTNBLUECROSS
P00254525OtherTNRAILROAD MEDICARE
3855458MedicaidTN
3855459MedicaidTN
4016614OtherTNBLUECROSS

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7338PRMDClinical Psychologist
46724AZMDEmergency Medicine Physician
ME111196FLMDEmergency Medicine Physician
MD-44206IAMDEmergency Medicine Physician
4302072392MIMDEmergency Medicine Physician
MD2008-0401NMMDEmergency Medicine Physician
35.122508OHMDEmergency Medicine Physician
27760TNMDEmergency Medicine Physician
007338PRMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Best Nursing Services Inc PastSince Nov 16, 1992 Accepting new patients
Marshall Emergency Services Associates, PLLC Emergency Medicine Past Accepting new patients
West Virginia Em-I Medical Services Emergency Medicine Past Accepting new patients

Organizations & group practices 5

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494979200000",
    "number": "1801833249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12041 SW 32ND ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301619",
            "telephone_number": "954-809-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12041 SW 32ND ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301619",
            "telephone_number": "954-809-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-RIOS",
        "first_name": "MARILIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2017-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "46724",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME111196",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "MD-44206",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "42709",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4302072392",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2008-0401",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "007338",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "26169",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "27760",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.122508",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "MD19556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "4016617",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00254525",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3855458",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3855459",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "4016614",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.