| Dr Jose Emiliano Rivas, MD | |
|
330 W Oak St, Kissimmee, FL 34741-4443 | |
| (888) 348-7363 | |
| (888) 343-7363 |
| Full Name | Dr Jose Emiliano Rivas |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 39 Years |
| Location | 330 W Oak St, Kissimmee, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952588188 | NPI | - | NPPES |
| 13663196 | Other | FL | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME 121469 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Freedom Pointe At The Villages Rehabilitation And | The villages, FL | Nursing home |
| Lady Lake Specialty Care Center | Lady lake, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| C3 Wellness Llc | 1355605502 | 8 |
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Lowell F. Clark Md Pa | 7416918370 | 29 |
| Entity Name | Lowell F. Clark Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629278882 PECOS PAC ID: 7416918370 Enrollment ID: O20041023000143 |
| Entity Name | C3 Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811490287 PECOS PAC ID: 1355605502 Enrollment ID: O20190806000105 |
| Entity Name | Vitalis Wellness Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922876580 PECOS PAC ID: 6800321571 Enrollment ID: O20241119002288 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jose Emiliano Rivas, MD 1113 Lattimore Dr, Clermont, FL 34711-9032 Ph: (941) 779-4870 | Dr Jose Emiliano Rivas, MD 330 W Oak St, Kissimmee, FL 34741-4443 Ph: (888) 348-7363 |
Saadia Fersobe, MD General Practice Medicare: Medicare Enrolled Practice Location: 804 Emmett St, Kissimmee, FL 34741 Phone: 407-749-0380 Fax: 407-569-4149 | |
Dr. Carlos Javier Lugo, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1960 E Osceola Pkwy, Kissimmee, FL 34743 Phone: 407-978-6400 Fax: 407-530-4326 | |
Norma Maria Perez - Torres, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 308 W Bass St, Kissimmee, FL 34741 Phone: 407-933-1760 Fax: 407-933-8060 | |
Mrs. Luciol D Livette, MD General Practice Medicare: Medicare Enrolled Practice Location: 109 N Doverplum Ave, Kissimmee, FL 34758 Phone: 407-943-8600 Fax: 833-464-3641 | |
Dr. Oscaralin Rodriguez Justiniano, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 4326 Silver Creek St, Kissimmee, FL 34744 Phone: 407-227-0660 | |
Caridad Gonzalez, M.D. General Practice Medicare: May Accept Medicare Assignments Practice Location: 1952 N John Young Pkwy, Kissimmee, FL 34741 Phone: 407-978-6605 Fax: 407-978-6610 | |
Osmany Lazaro Rodriguez Herrada, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 2548 Simpson Rd, Kissimmee, FL 34744 Phone: 407-632-4201 Fax: 407-632-4206 |