| Andrew Rivera, MD | |
| 14551 Hope Center Loop, Fort Myers, FL 33912-4704 | |
| (239) 936-2316 | |
| (239) 834-6106 | 
| Full Name | Andrew Rivera | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 14551 Hope Center Loop, Fort Myers, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1124550561 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 315629 (New York) | Secondary | 
| 2085R0202X | Radiology - Diagnostic Radiology | ME160987 (Florida) | Primary | 
| Entity Name | Consulting Radiologists Ltd | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1487730594 PECOS PAC ID: 7719899962 Enrollment ID: O20090504000672 | 
| Entity Name | Prairie Lakes Health Care System Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1720166002 PECOS PAC ID: 8628987823 Enrollment ID: O20240812000020 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Andrew Rivera, MD 3660 Broadway, Fort Myers, FL 33901-8005 Ph: (239) 936-2316 | Andrew Rivera, MD 14551 Hope Center Loop, Fort Myers, FL 33912-4704 Ph: (239) 936-2316 | 
| Stuart A Bobman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-2316 | |
| Victor H Gregory, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 3680 Broadway, Fort Myers, FL 33901 Phone: 239-936-2316 | |
| Dr. Mai F Saif, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907 Phone: 239-938-3500 Fax: 239-278-0588 | |
| Dr. Thomas Anderson Elkins, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-4068 Fax: 239-936-6989 | |
| Mitchell Martinez, MD Radiology Medicare: Medicare Enrolled Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-2316 Fax: 239-834-6106 | |
| Peter H. Blitzer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7341 Gladiolus Dr, Fort Myers, FL 33908 Phone: 239-489-3420 Fax: 239-489-3219 | |
| Dr. Michael J Weiss, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907 Phone: 239-938-3500 Fax: 239-278-0588 |