The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Doral and Florida

5 active clinicians are listed under Licensed Practical Nurse with a practice address in Doral, FL (1,922 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-18

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES FL PN5164421

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events

📍

Updated Practice Location September 18, 2024

Registered at 8019 LAKE DR APT 204, DORAL, FL 331667837 (Tel: 7866940880)

📍

Updated Business Mailing Address September 18, 2024

Registered at 8019 LAKE DR APT 204, DORAL, FL 331667837 (Tel: 7866940880)

👤

Provider Name / Credentials Updated September 18, 2024

Recorded as JAIRO RIVEROS, LPN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2024

Licensed Practical Nurse (license number reported to NPPES: FL PN5164421)

✅

NPI Profile Active January 09, 2015

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) January 09, 2015

Registered at 8410 SW 150TH AVE APT 101, MIAMI, FL 331931419 (Tel: 7863335433)

📍

Business Mailing Address (Initial Record) January 09, 2015

Registered at 8410 SW 150TH AVE APT 101, MIAMI, FL 331931419 (Tel: 7863335433)

👤

Provider Name / Credentials (Initial Record) January 09, 2015

Recorded as JAIRO RIVEROS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2015

Licensed Practical Nurse (license number reported to NPPES: FL PN 5164421)

🟢

Initial NPI Registration & Enumeration January 09, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023407392

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 09, 2015

Last Update: September 18, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

8019 Lake Dr Apt 204

Doral, FL 331667837

Phone: 7866940880

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.