DR. LUIS R RIVERA (NPI# 1780664177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780664177 |
| Entity Type | Individual |
| Full Name | DR. LUIS R RIVERA |
| Credential | MD |
| Practice Address |
11501 Sw 40th St Miami FL 33165-3313 |
| Mailing Address |
8600 Nw 41st St Doral FL 33166-6202 |
| Practice Telephone | 3056425366 |
| Practice Fax Number | 3056313828 |
| Mailing Telephone | 3056425366 |
| Mailing Fax Number | 3056313828 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2016-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME109084 | FL | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | G0526 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 117315502 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356908230 | Luis Rivera | Family Medicine | 1795 N Virginia Ct, Farmersville, CA 93223-2388 | 2019-05-25 |
| 1396208047 | Luis N Rivera | Technician/Technologist | Carr 775 Km 1.0 Int, Comerio, PR 00782-9715 | 2019-04-10 |
| 1396263158 | Luis Manuel Rivera Jr. | Massage Therapist | 2219 N Lawndale Ave, Chicago, IL 60647-2307 | 2017-08-31 |
| 1376073890 | Luis Manuel Rivera | Pharmacy Technician | 170 Calle Cambalache, Bo Pajaros Candelaria, Toa Baja, PR 00949 | 2017-06-18 |
| 1275915985 | Luis Rivera | Student in an Organized Health Care Education/Training Program | 4432 3rd Ave, Department of Pediatrics, Bronx, NY 10458-7801 | 2015-06-18 |
| 1740557313 | Luis Fernando Rivera Jr. | Contractor | 21415 43rd Avenue Ct E, Spanaway, WA 98387-6841 | 2011-11-25 |
| 1205139896 | Luis Rivera | Emergency Medicine | 50 W 97th St Apt 6f, New York, NY 10025-6036 | 2010-12-21 |
| 1508170101 | Luis A Rivera | Clinic/Center | Carr 1 Km 52.1, Brisas De Beatriz, Cayey, PR 00737-1050 | 2010-08-06 |
| 1174771067 | Luis Joel Rivera | Psychiatry & Neurology | 17 Calle 2 Ste 520, Guaynabo, PR 00968-1750 | 2008-09-04 |
| 1447375308 | Luis O. Rivera | Social Worker | 1318 W Oak St, Kissimmee, FL 34741-4009 | 2007-03-20 |
| Street Address |
11501 SW 40TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33165-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952394942 | Jose A Garcia | Internal Medicine | 11501 Sw 40th St, Miami, FL 33165-3313 | 2005-08-25 |
| 1255979266 | Deneysis Menendez | Physical Therapy Assistant | 11501 Sw 40th St, Miami, FL 33165-3313 | 2019-12-20 |
| 1871131136 | Michael Labrador | Physical Therapy Assistant | 11501 Sw 40th St, Miami, FL 33165-3313 | 2019-12-18 |
| 1013555275 | Carmen Martinez | Physical Therapy Assistant | 11501 Sw 40th St, Miami, FL 33165-3313 | 2019-12-18 |
| 1629543913 | Giselle Gomez | Pharmacist | 11501 Sw 40th St, Miami, FL 33165-3313 | 2018-10-12 |
| 1326521436 | Kidney Health Solutions LLC | Clinic/Center | 11501 Sw 40th St, Miami, FL 33165-3313 | 2018-09-13 |
| 1043698798 | Anthony Vincent Deangelo | Physical Therapist | 11501 Sw 40th St, Miami, FL 33165-3313 | 2015-05-14 |
| 1063890804 | Jose Juan Martinez | Physical Therapist | 11501 Sw 40th St, Miami, FL 33165-3313 | 2015-05-13 |
| 1629479209 | Yadira Manso | Internal Medicine | 11501 Sw 40th St, Miami, FL 33165-3313 | 2014-09-15 |
| 1376951137 | Venus Minerva Batista | Dietitian, Registered | 11501 Sw 40th St, Miami, FL 33165-3313 | 2014-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292159 | Rosalyn Viaros | Student in an Organized Health Care Education/Training Program | 5220 Sw 115th Ave., Miami, FL 33165 | 2020-10-09 |
| 1801401500 | Paradigm Kids Miami LLC | Behavioral Analyst | 11375 Sw 45th St, Miami, FL 33165 | 2020-09-10 |
| 1922643972 | Maritza Suarez | Behavior Technician | 1811 Sw 107th Ave Apt 2301, Miami, FL 33165 | 2019-11-14 |
| 1700439700 | 305 Medical Care Inc | Physical Medicine & Rehabilitation | 8900 Sw 24th, #209, Miami, FL 33165 | 2019-07-18 |
| 1124682299 | Picasso Dental Miami, Inc | General Practice | 9230 Sw 40th St Ste A, Miami, FL 33165 | 2019-04-24 |
| 1538723838 | Mihr Urgent Care Corp | Clinic/Center | 8900 Sw 24 St. Ste #200, Miami, FL 33165 | 2019-04-23 |
| 1942766670 | Daniel Luis Hernandez | Nurse Practitioner | 10250 Sw 56 St Suit D-103, Miami, FL 33165 | 2019-02-19 |
| 1124583695 | Meliza Mercedes Perea | Nurse Practitioner | 3850 Sw 87th Ave Ste 205, Miami, FL 33165 | 2019-02-08 |
| 1629551700 | Jorge L Hernandez | Nurse Practitioner | 8710 Sw 41 Terrace, Miami, FL 33165 | 2018-09-13 |
| 1245718857 | Cac Florida Medical Centers, LLC | Clinic/Center | 10453-55 Sw 40 Street, Miami, FL 33165 | 2018-08-06 |
| Find all providers in zip 33165 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770952616 | Genesiscare Usa of Florida LLC | Urology | 3361 South Miami Avenue, Suite 306, Miami, FL 33133-4232 | 2015-09-22 |
| 1790152908 | Bruno Nahar Aragao De Oliveira | Urology | 1120 Nw 14th St Ste 1564b, Miami, FL 33136-2107 | 2015-08-24 |
| 1912382417 | Vivek Venkatramani | Urology | 1250 S Miami Ave Apt 1311, Miami, FL 33130-4107 | 2015-07-25 |
| 1093127631 | Jose Luis Vilaro Valderrabano | Urology | 3641 S Miami Ave Ste 170, Miami, FL 33133-4219 | 2014-06-02 |
| 1164846986 | Derek Prabharasuth | Urology | 11760 Sw 40th St Ste 403, Miami, FL 33175-3595 | 2014-02-13 |
| 1780023135 | Sanjaya Kumar Swain | Urology | 1150 Pac Clinic University of Miami Hospital, Room No 309, Miami, FL 33136 | 2013-06-19 |
| 1467716183 | Emad Ibrahim | Urology | 1095 Nw 14th Ter # R48, Rm 1-10, Miami, FL 33136-1060 | 2012-06-27 |
| 1215295639 | Ricardo Ismael Palmerola | Urology | 4220 Sw 60th Ct, Miami, FL 33155-5224 | 2012-04-24 |
| 1437425246 | Katherine A. Amin | Urology | Professional Arts Center, 1150 Nw 14th St, Suite 309, Miami, FL 33136 | 2012-03-26 |
| 1073803490 | Nicholas Joseph Hauser | Urology | 1150 Nw 14th St Ste 309, Miami, FL 33136 | 2011-04-19 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.