Individual provider Active NPI

Gabriel Carlos Ortiz Rivera

  • General Practice Physician
  • Orange City, FL
National Provider Identifier
1932728557
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1473 Issued in FL
Practice address
876 Saxon Blvd
Orange City, FL 32763-8214
Phone
(386) 774-0491
Fax
(386) 774-0492
NPI assigned
Apr 14, 2020
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1473 FL Primary
General Practice Physician 208D00000X 21874 PR

Addresses

Primary practice location

876 Saxon Blvd
Orange City, FL 32763-8214

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gabriel.ortiz.rivera.1@29601.direct.athenahealth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221004000855 FL Practitioner - General Practice 8224455324 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine LLCGroup PAC ID 5698131886, 4 clinicians
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

450 W State Rd
434 Suite 1010
Longwood, FL 32750-5187
Phone (407) 786-0004

876 Saxon Blvd
Orange City, FL 32763-8214
Phone (386) 774-0491

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Leaf Medical Group CurrentSince Aug 5, 2024 Accepting new patients
Urgent Care Center of Longwood LLC CurrentSince Aug 5, 2024 Accepting new patients
Internal Medicine LLC CurrentSince Aug 5, 2024 Accepting new patients
Longwood Medical Group PA CurrentSince Aug 5, 2024 Accepting new patients
Conviva Medical Center Management LLC General Practice CurrentSince May 12, 2025 Accepting new patients
Marvel Psychiatric PLLC CurrentSince May 21, 2026 Accepting new patients
Idelis Fedeslinda Arias de la Torre General Practice PastSince Jun 1, 2021 Accepting new patients
Orlando Family Physicians, LLC General Practice PastSince Jan 5, 2025 Accepting new patients

Locations

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

450 W State Road 434
Ste 1010
Longwood, FL 32750
Phone (407) 212-3000

450 W State Road 434
Ste 2030
Longwood, FL 32750
Phone (321) 206-8100

450 W State Road 434
Ste 3010
Longwood, FL 32750
Phone (321) 206-8100

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

876 Saxon Blvd
Orange City, FL 32763
Phone (386) 774-0491

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1577/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1932728557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 SAXON BLVD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638214",
            "telephone_number": "386-774-0491",
            "fax_number": "386-774-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ RIVERA",
        "first_name": "GABRIEL",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-14",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1473",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gabriel.ortiz.rivera.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "876 Saxon Blvd",
            "city": "Orange City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327638214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.