Individual provider Active NPI

Andilay Rivero

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1952178881
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029906 Issued in FL
Practice address
2750 W 68TH St # 127-128
Hialeah, FL 33016-5446
Phone
(305) 558-0765
Fax
(305) 558-0768
NPI assigned
Dec 11, 2023
Last updated
May 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11029906 FL Primary

Addresses

Primary practice location

2750 W 68TH St # 127-128
Hialeah, FL 33016-5446

Mailing address

2750 W 68TH St # 127-128
Hialeah, FL 33016-5446
Phone (305) 558-0765

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
I20240424003419 FL Practitioner - Nurse Practitioner 0042650087 Reassigns benefits to 1 organization
Practice locations: Miramar, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11029906FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Las Mercedes, LLC Single Specialty CurrentSince May 6, 2024 Accepting new patients
Clinica Las Mercedes, LLC CurrentSince May 6, 2024 Accepting new patients

Locations

2750 W 68th St
#127128
Hialeah, FL 33016
Phone (305) 558-0765

1479 NW 27th Ave
Miami, FL 33125
Phone (305) 633-3776

6355 NW 36th St
Ste 1100
Virginia Gardens, FL 33166

Organizations & group practices 2

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": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1952178881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 W 68TH ST # 127-128",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165446",
            "telephone_number": "305-558-0765",
            "fax_number": "305-558-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W 68TH ST # 127-128",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165446",
            "telephone_number": "305-558-0765",
            "fax_number": "305-558-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO",
        "first_name": "ANDILAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.