Active NPI
Jose Arnaldo Rivera, D.P.M
- Sports Medicine Podiatrist
- Orange City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine Podiatrist
- License
- PO3038
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1937 | TX | MD | Marriage & Family Therapist |
| PO3038 | FL | MD | Sports Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Athletix LLC | Current | 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 | Past | Accepting new patients | |
| Center for Foot and Ankle Surgery, PA | Past | 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
- afas@direct.meditouchehr.com
- 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.
-
- Podiatrist
- Orange City, FL
- NPI 1114479649
-
- Cardiovascular Disease Physician
- Winter Park, FL
- NPI 1871543157
-
- Foot & Ankle Surgery Podiatrist
- Weston, FL
- NPI 1043269947
-
- Orthopaedic Surgery Physician
- Plantation, FL
- NPI 1487624771
-
- Podiatric Clinic/Center
- Austin, TX
- NPI 1982673455
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.