JOSE A RIVERA (NPI# 1114414380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114414380 |
| Entity Type | Individual |
| Full Name | JOSE A RIVERA |
| Credential | MANAGING CONTROL CEO |
| Practice Address |
3201 Budinger Ave Saint Cloud FL 34769-7203 |
| Practice Telephone | 4079102941 |
| Mailing Telephone | 4079102941 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1750872263 | Jose Raul Rivera | In Home Supportive Care | 2801 S Valley View Blvd Ste 16c, Las Vegas, NV 89102-0116 | 2018-05-21 |
| 1568962280 | Jose Eli Rivera | Behavioral Analyst | 11476 S Apopka Vineland Rd # 118, Orlando, FL 32836-7006 | 2018-02-19 |
| 1629516752 | Jose E Rivera | Specialist/Technologist | 425 Alpine Village Dr, Monroeville, PA 15146-3752 | 2017-02-09 |
| 1346630886 | Jose Rivera | Student in an Organized Health Care Education/Training Program | 1325 4th St., Simi Valley, CA 93065-4360 | 2015-02-04 |
| 1689097537 | Jose Rivera | Counselor | 2325 Old Philadelphia Pike, Starlite Driveunit C, Lancaster, PA 17602-3441 | 2014-01-29 |
| 1184990301 | Jose L, Rivera | Counselor | 829 E Oak St Ste C, Kissimmee, FL 34744-5829 | 2012-04-02 |
| 1407140072 | Jose H Rivera | Pharmacist | 1115 65 De Infanteria Avenue, Walgreens #363, San Juan, PR 00924 | 2011-06-01 |
| 1619104320 | Jose M Rivera | Massage Therapist | 47 Rural Ln, Levittown, NY 11756-5423 | 2009-06-19 |
| 1841459245 | Jose Francisco Rivera | Dentist | 107 Calle Hija Del Caribe, Urb. El Vedado, San Juan, PR 00918-3204 | 2008-06-02 |
| Street Address |
3201 BUDINGER AVE |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34769-7203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386752517 | Criseyde Chernavski | Physical Therapist | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2006-08-28 |
| 1629681242 | Kaitlin Gonzalez | Case Manager/Care Coordinator | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2020-08-24 |
| 1457962995 | Akash Udeepak Bali | Physical Medicine & Rehabilitation | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2020-08-10 |
| 1710595046 | Lynette Chaves | Case Manager/Care Coordinator | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2020-07-22 |
| 1972112209 | Fernando Antonio Varela | Case Manager/Care Coordinator | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2020-07-22 |
| 1720696446 | Kristal Marie Marquez | Specialist/Technologist | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2020-07-20 |
| 1952927881 | Jackeline Cuevas Perez | Case Manager/Care Coordinator | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2020-06-16 |
| 1568002053 | Alduy Tortoriello | Behavior Technician | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2020-01-13 |
| 1700437761 | Orlando Reyes | Counselor | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2019-09-21 |
| 1922655091 | Luis Andre Quinones | Counselor | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2019-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| Find all providers in zip 34769 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902392525 | Odam Medical Group | Clinic/Center | 3405 3rd St N, Saint Cloud, MN 56303-4015 | 2018-07-06 |
| 1922309582 | Best of Health Medical Clinic,llc | Clinic/Center | 524 13 Th Street, Saint Cloud, FL 34769 | 2010-11-12 |
| 1518268283 | Walk In Medical Clinic and Fitness Center, LLC | Clinic/Center | 3105 Innovation Dr Ste A, Saint Cloud, FL 34769-6501 | 2010-11-10 |
| 1730692450 | Carrousel Health Care Corporation | Clinic/Center | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2017-11-16 |
| 1689196339 | Centracare Clinic | Clinic/Center | 251 County Road 120, Saint Cloud, MN 56303-4872 | 2017-07-14 |
| 1538696323 | Centracare Clinic | Clinic/Center | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2017-05-11 |
| 1336520105 | Cloud Care LLC | Clinic/Center | 3720 Cord Ave, Saint Cloud, FL 34772-8061 | 2015-06-17 |
| 1881004596 | Z Medical Center LLC | Clinic/Center | 1600 Budinger Ave Ste A, Saint Cloud, FL 34769-6007 | 2014-05-02 |
| 1790124741 | East Lake Medical Clinic | Clinic/Center | 4737 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 | 2013-06-21 |
| 1457405763 | Centracare Clinic | Clinic/Center | 1900 Centracare Cir, Suite 1450, Saint Cloud, MN 56303-5000 | 2007-01-23 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34769 |
Please comment or provide details below to improve the information on JOSE A RIVERA.
| 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.