Individual provider Active NPI

Veronica Rivera

  • Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1932634664
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9295135 Issued in FL
Practice address
12600 Pembroke Rd Ste 310
Miramar, FL 33027-2544
Phone
(954) 431-7681
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9295135 FL Primary

Addresses

Primary practice location

12600 Pembroke Rd Ste 310
Miramar, FL 33027-2544

Mailing address

11971 SW 28TH CT
Miramar, FL 33025-0785
Phone (954) 294-4313

Other practice location 1

5830 Coral Ridge Dr Ste 160
Coral Springs, FL 33076-3393
Phone (754) 240-6108

Other practice location 2

326 SW 191st Ter
Pembroke Pines, FL 33029-5449
Phone (954) 294-4313

Other practice location 3

11020 RCA Center Dr Ste 2004
Palm Beach Gardens, FL 33410-4277
Phone (561) 273-0695

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210107000279 FL Practitioner - Nurse Practitioner 6709299977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Consultants PAGroup PAC ID 7214948124, 4 clinicians

Practice addresses (Care Compare)

12600 Pembroke Rd
Suite 310
Miramar, FL 33027-2544
Phone (954) 431-7681

7150 W 20TH Ave
Suite 210
Hialeah, FL 33016-5531
Phone (305) 828-7504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9295135FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Consultants PA CurrentSince Nov 1, 2020 Accepting new patients

Locations

7150 W 20th Ave
Ste 210
Hialeah, FL 33016
Phone (305) 823-9463

12600 Pembroke Rd
Ste 310
Miramar, FL 33027
Phone (954) 431-7681

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1932634664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11971 SW 28TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330250785",
            "telephone_number": "954-294-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 PEMBROKE RD STE 310",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272544",
            "telephone_number": "954-431-7681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5830 Coral Ridge Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330763393",
            "country_code": "US",
            "telephone_number": "754-240-6108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 SW 191st Ter",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330295449",
            "country_code": "US",
            "telephone_number": "954-294-4313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11020 RCA Center Dr Ste 2004",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334104277",
            "country_code": "US",
            "telephone_number": "561-273-0695",
            "fax_number": "561-273-0696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "VERONICA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9295135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.