Individual provider Active NPI

Pedro D Rivera Morillo, M.D.

  • General Practice Physician
  • Middleburg, FL
National Provider Identifier
1902800691
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME139355 Issued in FL
Practice address
1586 Branan Field Rd
Middleburg, FL 32068-8427
Phone
(904) 282-8000
Fax
(904) 282-8044
NPI assigned
Jun 9, 2005
Last updated
Feb 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 6598 PR
General Practice Physician 208D00000X ME139355 FL Primary

Addresses

Primary practice location

1586 Branan Field Rd
Middleburg, FL 32068-8427

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other names 1

  • Dr. Pedro D Rivera Morillo Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pedro.rivera.morillo.2@29601.direct.athenahealth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210614001754 FL Practitioner - General PracticePractitioner - Pediatric Medicine 2961802996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Pediatric Medicine
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6077 Copper Dr
Macclenny, FL 32063-6003

6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126

6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126-3168

6101 Blue Lagoon Dr
Suite 400
Miami, FL 33126-2051

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME139355FLMDGeneral Practice Physician
6598PRMDMedical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC General Practice CurrentSince Feb 6, 2023 Accepting new patients
Florida Department of Children and Families CurrentSince Mar 12, 2021 Accepting new patients
Florida Department of Children and Families Current Accepting new patients

Locations

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1586 Branan Field Rd
Middleburg, FL 32068
Phone (904) 282-8000

Interoperability endpoints

  • Direct secure messaging: pedro.rivera.morillo.1@29601.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1902800691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1586 BRANAN FIELD RD",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688427",
            "telephone_number": "904-282-8000",
            "fax_number": "904-282-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA MORILLO",
        "first_name": "PEDRO",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PR",
            "license": "6598",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME139355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pedro.rivera.morillo.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1586 Branan Field Rd",
            "city": "Middleburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320688427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PEDRO",
            "last_name": "RIVERA MORILLO",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Middleburg, FL

Sources for this page

Verify at the official NPI Registry.