Active NPI
Veronica Rivera
- Nurse Practitioner
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9295135
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9295135 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Consultants PA | Current | 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.
-
- Dermatology Physician
- Miramar, FL
- NPI 1689815904
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.