EVARISTO E. RIVERO (NPI# 1659554798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659554798 |
| Entity Type | Organization |
| Organization Name | EVARISTO E. RIVERO |
| Other Organization Name | THE FOOT DOCTOR CORPORATION |
| Practice Address |
230 E Interlake Blvd Lake Placid FL 33852-9603 |
| Practice Telephone | 8636996001 |
| Practice Fax Number | 8636996002 |
| Mailing Telephone | 8636996001 |
| Mailing Fax Number | 8636996002 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2010-07-20 |
| Authorized Official Name | DR. EVARISTO E. RIVERO (OWNER) |
| Authorized Official Telephone | 8636996001 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO2506 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 390277300 | 05 |
| Other Name | Type Code |
|---|---|
| The Foot Doctor Corporation | Doing Business As Name - Organization |
| Street Address |
230 E INTERLAKE BLVD |
| City | LAKE PLACID |
| State | FL |
| Zip Code | 33852-9603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043211691 | Evaristo Enrique Rivero | Podiatrist | 230 E Interlake Blvd, Lake Placid, FL 33852-9603 | 2005-08-04 |
| 1427091735 | The Foot Doctor Corp | Podiatrist | 230 E Interlake Blvd, Lake Placid, FL 33852-9603 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346728763 | Eduardo Enrique Florez | Behavior Technician | 621 S Sun N Lakes Blvd, Lake Placid, FL 33852 | 2018-07-30 |
| 1841738051 | Halcyon Rehabilitation, LLC | Clinic/Center | 1297 Us-27, Lake Placid, FL 33852 | 2017-02-08 |
| 1386014009 | Randolph Giller | Hearing Instrument Specialist | 403 E. Interlake Blvd., Lake Placid, FL 33852 | 2015-10-07 |
| 1275918369 | Toyeca Robinson | Technician, Other | 448 Lake Gloria Dr, Lake Placid, FL 33852 | 2015-07-30 |
| 1720422405 | Nic 4 Balmoral Leasing LLC | Assisted Living Facility | 93 Balmoral Drive, Lake Placid, FL 33852 | 2013-04-24 |
| 1720036908 | Stephanie Delbert | Nurse Practitioner | 13 N Main Ave, Lake Placid, FL 33852 | 2006-05-04 |
| 1821084013 | Eladio Lao | Anesthesiology | 1012 Hwy 27 N, Lake Placid, FL 33852 | 2005-09-22 |
| 1699204693 | Stephaniedelbert,arnp,inc | Nurse Practitioner | 13 N Main Ave, Lake Placid, FL 33852 | 2017-06-05 |
| 1639228398 | James Edward Oxer | Dentist | 408 W Interlake Blvd, Lake Placid, FL 33852-0700 | 2007-01-10 |
| 1093293847 | Thomas Veronee | Dentist | 408 W Interlake Blvd, Lake Placid, FL 33852-0700 | 2018-08-03 |
| Find all providers in zip 33852 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043211691 | Evaristo Enrique Rivero | Podiatrist | 230 E Interlake Blvd, Lake Placid, FL 33852-9603 | 2005-08-04 |
| 1023013679 | Pamela S Dolber | Podiatrist | 3 S Main Ave, Lake Placid, FL 33852-1806 | 2005-06-19 |
| 1427091735 | The Foot Doctor Corp | Podiatrist | 230 E Interlake Blvd, Lake Placid, FL 33852-9603 | 2006-06-14 |
| 1598722746 | Richard S Donela | Podiatrist | 29 Church St, Lake Placid, NY 12946-1805 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295079 | Pardee Foot Clinic | Podiatrist | 1808 W International Speedway Blvd Ste 304a, Daytona Beach, FL 32114-1227 | 2020-11-04 |
| 1699393546 | Michael C. Flatley, Dpm, Pa | Podiatrist | 674 Barrington Cir, Winter Springs, FL 32708-6115 | 2020-07-08 |
| 1649895822 | Fred E Gatiher II Dpm | Podiatrist | 2 Miracle Strip Loop Ste 3, Panama City Beach, FL 32407-8412 | 2020-06-12 |
| 1780204602 | Pinnacle Foot and Ankle Centers, LLC | Podiatrist | 1801 Se Hillmoor Dr Ste A-103, Port St Lucie, FL 34952-7545 | 2020-04-21 |
| 1265081632 | Family Podiatry of Central Florida Pa | Podiatrist | 450 W Central Pkwy Fl 2, Altamonte Springs, FL 32714-2436 | 2019-09-09 |
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1861045155 | Olupona Foot and Ankle, LLC | Podiatrist | 1600 Nw 17th Ave, Miami, FL 33125-2327 | 2019-07-17 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1982262358 | Foot and Ankle Network | Podiatrist | 8323 Nw 12th St Ste 204, Doral, FL 33126-1840 | 2019-05-31 |
| 1750845491 | Gentle Touch Podiatric Care Pa | Podiatrist | 100 Golden Isles Dr Apt 610, Hallandale Beach, FL 33009-5824 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | LAKE PLACID |
| Zip Code | 33852 |
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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.