Individual provider Active NPI

Jose Arnaldo Rivera, D.P.M

  • Sports Medicine Podiatrist
  • Orange City, FL
National Provider Identifier
1902864333
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine PodiatristTaxonomy code 213ES0000X
License
PO3038 Issued in FL
Practice address
955 Town Center Dr Ste 200
Orange City, FL 32763
Phone
(386) 218-4016
Fax
(386) 218-4107
NPI assigned
May 3, 2006
Last updated
Jun 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X PO3038 FL Primary

Addresses

Primary practice location

955 Town Center Dr Ste 200
Orange City, FL 32763

Mailing address

PO Box 403051
Miami Beach, FL 33140-1051
Phone (954) 450-0099

Other practice location 1

17751 SW 2nd St
Pembroke Pines, FL 33029-3924
Phone (954) 450-0099

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000652 FL Practitioner - Podiatry 8224082672 Practice locations: Altamonte Springs, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1937TXMDMarriage & Family Therapist
PO3038FLMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Athletix LLC CurrentSince Jan 1, 2017 Accepting new patients
Foot Ankle & Leg Specialists of South Florida Inc Past Accepting new patients
Sports Medicine Associates of South Florida, P.a. Past Accepting new patients
Florida Cardiology PA PastSince Apr 1, 2025 Accepting new patients
Center for Foot and Ankle Surgery, PA PastSince Feb 1, 2007 Accepting new patients

Locations

955 Town Center Dr
Ste 200
Orange City, FL 32763
Phone (386) 218-4016

17751 SW 2nd St
Pembroke Pines, FL 33029
Phone (833) 366-8847

Interoperability endpoints

  • Direct secure messaging: afas@direct.meditouchehr.com
  • Direct secure messaging: jrivera@woundmd.curemd.direct-ci.com

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, 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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1902864333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403051",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331401051",
            "telephone_number": "954-450-0099",
            "fax_number": "877-528-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 TOWN CENTER DR STE 200",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "32763",
            "telephone_number": "386-218-4016",
            "fax_number": "386-218-4107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17751 SW 2nd St",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330293924",
            "country_code": "US",
            "telephone_number": "954-450-0099",
            "fax_number": "954-450-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JOSE",
        "middle_name": "ARNALDO",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "FL",
            "license": "PO3038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.