NPIMap

Organization Active NPI

Keiler Heberto Moreno Rivero, P.a.

  • Internal Medicine Physician
  • Celebration, FL
National Provider Identifier
1861974073
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KEILER HEBERTO MORENO RIVERO, P.A.
Practice address
2940 Mallory Cir Ste 202
Celebration, FL 34747-1818
Phone
(407) 269-8550
Fax
(407) 288-1010
NPI assigned
Sep 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Dr. Keiler Moreno Rivero, MDNPI 1659780625
Title
Owner
Phone
(407) 269-8550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2940 Mallory Cir Ste 202
Celebration, FL 34747-1818

Mailing address

1251 Emerson Park Blvd Apt 105
Celebration, FL 34747-5371
Phone (407) 269-8550

Other practice location 1

1065 N John Young Pkwy
Kissimmee, FL 34741-4210
Phone (407) 269-8550

Other practice location 2

2100 S Chickasaw Trl Ste 101
Orlando, FL 32825-8444
Phone (407) 237-7014

Other identifiers 1

IdentifierTypeStateIssuer
018667500MedicaidFL

Other names 1

  • MORENO'S INTERNAL MEDICINE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190128000753 FL Part B Supplier - Clinic/Group Practice 6002153145 Receives reassigned benefits from 15 practitioners
Practice locations: Orlando, FL; Kissimmee, FL; Celebration, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2273864Keiler Heberto Moreno Rivero PA2940 Mallory Cir Suite 203, Kissimmee, FL 34747Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory

Locations

2940 Mallory Cir
Ste 203
Celebration, FL 34747

4024 W Vine St
Kissimmee, FL 34741

2400 S Chickasaw Trl
Orlando, FL 32825

13807 Landstar Blvd
Ste 136142
Orlando, FL 32824

13807 Landstar Blvd
#136142
Orlando, FL 32824

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEAGBD

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1861974073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 EMERSON PARK BLVD APT 105",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475371",
            "telephone_number": "407-269-8550",
            "fax_number": "407-288-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 MALLORY CIR STE 202",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347471818",
            "telephone_number": "407-269-8550",
            "fax_number": "407-288-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1065 N JOHN YOUNG PKWY",
            "address_purpose": "LOCATION",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414210",
            "country_code": "US",
            "telephone_number": "407-269-8550",
            "fax_number": "407-288-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 S Chickasaw Trl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328258444",
            "country_code": "US",
            "telephone_number": "407-237-7014",
            "fax_number": "407-440-3582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEILER HEBERTO MORENO RIVERO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "MORENO RIVERO",
        "authorized_official_first_name": "KEILER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-269-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018667500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORENO'S INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Celebration, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.