Individual provider Active NPI

Mariela Carolina Rivera Nieves, DC

  • Chiropractor
  • Winter Park, FL
National Provider Identifier
1871223248
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14037 Issued in FL
Practice address
1320 S Orlando Ave Ste 3
Winter Park, FL 32789-5556
Phone
(407) 504-0117
NPI assigned
Jun 16, 2022
Last updated
Jun 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14037 FL Primary

Addresses

Primary practice location

1320 S Orlando Ave Ste 3
Winter Park, FL 32789-5556

Mailing address

4110 Plantation Cove Dr
Orlando, FL 32810-3532
Phone (787) 224-1679

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220720000374 FL Practitioner - Chiropractic 4486035607 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Next Medical Florida LLC Chiropractor CurrentSince Jan 6, 2023 Accepting new patients

Locations

877 S Orange Blossom Trl
Forest City, FL 32703
Phone (407) 889-3223

7335 W Sand Lake Rd
Ste 125
Orlando, FL 32819
Phone (407) 889-3223

6285 Minton Rd NE
Palm Bay, FL 32907
Phone (321) 306-0300

5937 Cypress Gardens Blvd
Ste 600
Winter Haven, FL 33884
Phone (863) 877-1930

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1871223248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 PLANTATION COVE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328103532",
            "telephone_number": "787-224-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S ORLANDO AVE STE 3",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895556",
            "telephone_number": "407-504-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA NIEVES",
        "first_name": "MARIELA",
        "middle_name": "CAROLINA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.