Organization Active NPI

Nivea R Ribas M D P a

  • Neurology Physician
  • Miami Lakes, FL
National Provider Identifier
1912960824
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0064461 Issued in FL
Legal business name
NIVEA R RIBAS M D P A
Practice address
5801 NW 151St St
Ste 206
Miami Lakes, FL 33014-2437
Phone
(305) 826-3931
Fax
(305) 826-5102
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Nivea R RibasNPI 1699773895
Title
M D P a
Phone
(305) 826-3931

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 0064461 FL Primary

Addresses

Primary practice location

5801 NW 151St St
Ste 206
Miami Lakes, FL 33014-2437

Mailing address

5801 NW 151St St
Ste 206
Miami Lakes, FL 33014-2437
Phone (305) 826-3931

Other identifiers 3

IdentifierTypeStateIssuer
262443500MedicaidFL
DB1607OtherFLPALMETTO GBA
38524OtherFLBCBS GROUP #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080714000593 FL Part B Supplier - Clinic/Group Practice 2062583313 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory

Locations

5801 NW 151st St
Ste 206
Miami Lakes, FL 33014
Phone (305) 826-3931

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1912960824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 NW 151ST ST",
            "address_2": "STE 206",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142437",
            "telephone_number": "305-826-3931",
            "fax_number": "305-826-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 NW 151ST ST",
            "address_2": "STE 206",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142437",
            "telephone_number": "305-826-3931",
            "fax_number": "305-826-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIVEA R RIBAS M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "RIBAS",
        "authorized_official_first_name": "NIVEA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "M D P A",
        "authorized_official_telephone_number": "305-826-3931"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "0064461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262443500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DB1607",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "38524",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.