NPIMap

Organization Active NPI

Miguel Rivera MD PA

  • Psychiatry Physician
  • Sarasota, FL
National Provider Identifier
1932149457
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME76952 Issued in FL
Legal business name
MIGUEL RIVERA MD PA
Practice address
2043 Rose St
Sarasota, FL 34239-5223
Phone
(941) 366-9450
Fax
(941) 366-9459
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Doreen J Degirolamo
Title
Billing Manager
Phone
(941) 751-6583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X ME76952 FL Primary

Addresses

Primary practice location

2043 Rose St
Sarasota, FL 34239-5223

Mailing address

2043 Rose St
Sarasota, FL 34239-5223
Phone (941) 366-9450

Other identifiers 1

IdentifierTypeStateIssuer
264551300MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1932149457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 ROSE ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395223",
            "telephone_number": "941-366-9450",
            "fax_number": "941-366-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 ROSE ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395223",
            "telephone_number": "941-366-9450",
            "fax_number": "941-366-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL RIVERA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "DEGIROLAMO",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "941-751-6583"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME76952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264551300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.