VICTOR JUAN RIVERA (NPI# 1396199303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396199303 |
| Entity Type | Individual |
| Full Name | VICTOR JUAN RIVERA |
| Credential | M.D. |
| Practice Address |
672 Sw Prima Vista Blvd Ste 102 Port St Lucie FL 34983-1820 |
| Mailing Address |
Po Box 69 Jupiter FL 33468-0069 |
| Practice Telephone | 7729052560 |
| Mailing Telephone | 5614066062 |
| Mailing Fax Number | 5614066073 |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2020-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ACN1144 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 19320 | PR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Calle Baldorioty, Caguas, PR 007252607 | 7874066214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225568637 | Victor Daniel Rivera | Occupational Therapy Assistant | 7529 W Roma Ave, Phoenix, AZ 85033-2443 | 2017-06-18 |
| 1316385040 | Victor Rivera | Counselor | 4544 San Fernando Rd Ste 201, Glendale, CA 91204-5015 | 2013-06-04 |
| 1417261777 | Victor D Rivera | Counselor | Santa Juanita, Ll 22 30, Bayamon, PR 00956 | 2010-07-28 |
| 1568576569 | Victor Rivera | Dentist | Ave. Santa Juanita, Ak 5, Bayamon, PR 00956 | 2006-08-18 |
| 1033129473 | Victor Manuel Rivera | Urology | 1 Calle Baldorioty, Caguas, PR 00725-2607 | 2006-08-08 |
| 1316994395 | Victor A Rivera | Family Medicine | 1723 Lucerne Ter, Orlando, FL 32806-2916 | 2006-05-27 |
| 1295730166 | Victor Manuel Rivera | Registered Nurse | 11511 Yates St, Silver Spring, MD 20902-2931 | 2005-06-16 |
| 1023675527 | Victor Ivan Rivera | Student in an Organized Health Care Education/Training Program | 1015 Walnut St Ste 620, Philadelphia, PA 19107-5005 | 2019-05-21 |
| 1205348794 | Victor Rivera | Occupational Therapy Assistant | 900 Washington Ave Ste 602, Waco, TX 76701-1283 | 2017-10-25 |
| 1104342344 | Victor A Rivera Jr. | Behavior Technician | 14235 Sw 274th Way, Homestead, FL 33032 | 2017-08-18 |
| Street Address |
672 SW PRIMA VISTA BLVD STE 102 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34983-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518018142 | Steven William Cohen | Family Medicine | 672 Sw Prima Vista Blvd Ste 102, Port St Lucie, FL 34983-1820 | 2007-01-12 |
| 1679760680 | Alex Daniel Andujar Alejandro | Family Medicine | 672 Sw Prima Vista Blvd Ste 102, Port St Lucie, FL 34983-1820 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588224109 | Skytop Transportation Inc | Non-emergency Medical Transport (VAN) | 6947 Nw Daffodil Ln, Port Saint Lucie, FL 34983 | 2019-06-17 |
| 1063985125 | Ralph Glen Manning | Counselor | 289 Se Sagamore Terrace, Port Saint Lucie, FL 34983 | 2019-01-10 |
| 1275032252 | Charlotte Simpkins | Nurse's Aide | 462 Se Faith Terrace, Port Saint Lucie, FL 34983 | 2018-02-06 |
| 1124547989 | Alicia Maria Herrero Marzo | Case Manager/Care Coordinator | 749 Nw Orchid St, Port St Lucie, FL 34983 | 2017-09-13 |
| 1922535137 | Superior Living 'llc' | Assisted Living Facility | 496 Southeast Verada, Port St Lucie, FL 34983 | 2017-05-18 |
| 1760931562 | Lisa A Joseph | Registered Nurse | 1602 Se Sandia Dr, Psl, FL 34983 | 2016-09-22 |
| 1891146270 | Janet Bayramyan | Counselor | 453 Nw Dover Ct, Port St Lucie, FL 34983 | 2016-06-27 |
| 1033565650 | Jennifer J Ramos | Physician Assistant | 1581 Sw Bayshore Blvd, Port St Lucie, FL 34983 | 2016-05-12 |
| 1659741379 | Amy Mae Dipalma | Physical Therapy Assistant | 5238 Nw Rugby Dr, Port St Lucie, FL 34983 | 2015-10-07 |
| 1942682406 | Vikash Dahya | Dentist | 499 Sw Prima Vista Blvd, Port St. Lucie, FL 34983 | 2015-06-22 |
| Find all providers in zip 34983 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750766465 | Dieudonne Mitial | General Practice | 5323 Nw Aloha St, Port St Lucie, FL 34986-3533 | 2015-07-23 |
| 1609269026 | Advent Health, LLC | General Practice | 9861 Sw Eastbrook Cir, Port St Lucie, FL 34987-2431 | 2015-03-10 |
| 1619125564 | Brenda Hernandez Reyes | General Practice | 672 Sw Prima Vista Blvd Ste 101, Port St Lucie, FL 34983-1820 | 2008-09-04 |
| 1427231562 | Coral Way Medical Center Inc | General Practice | 1940 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5510 | 2007-12-12 |
| 1912026857 | Lloyd Bergner | General Practice | 9729 Sw Eastbrook Cir, Port St Lucie, FL 34987-2429 | 2007-03-29 |
| 1265524862 | Jean-marie G Eugene | General Practice | 1362 Sw Bayshore Blvd, Port St Lucie, FL 34983-2929 | 2006-09-29 |
| 1083192819 | Tania Mclean Adult & Geriatric Primary Care Services, LLC | General Practice | 4182 Sw Baird St, Port St Lucie, FL 34953-3136 | 2018-08-02 |
| 1326479213 | Brittany Nobilette | General Practice | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2013-12-03 |
| 1275802787 | John R Collins | General Practice | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2011-12-29 |
| 1336187988 | Sonshine Ambulatory Care Center | General Practice | 1405 Se Goldtree Dr, Suite # C, Port St Lucie, FL 34952-7563 | 2006-06-04 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34983 |
Please comment or provide details below to improve the information on VICTOR JUAN 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.