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Deactivated NPI 1972064103 Deactivated / Inactive NPI Male Practitioner

Dr. Luis Rafael Rivera Aguasvivas , MD

Colon & Rectal Surgery • Montgomery, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Luis Rivera Aguasvivas has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 29, 2019
NPI Deactivation Date November 04, 2019
Total Practice Duration ~1 Years of Practice (2019 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Luis Rivera Aguasvivas, MD was a registered Colon & Rectal Surgery practicing in Montgomery, AL. Throughout an active medical career spanning 1 years, Dr. Rivera Aguasvivas provided care at the practice location at 2055 E SOUTH BLVD STE 601 until profile deactivation on 2019-11-04.

Practice Location & Contact Primary Location

Practice Address

2055 E South Blvd Ste 601

Montgomery, AL 361162014

Telephone 3347472999
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Montgomery, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Montgomery, AL (25 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-10
Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License AL 49314

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License FL TRN29803

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1611 Nw 12 Avenue, Holtz Building, East Tower 2169

Miami, FL 33136

Phone: 3055851280

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Meaghan Baxley , CRNP

Nurse Practitioner - Family

NPI 1033557319

Certified Registered Nurse Practitioner

NPI 1053874396

Doctor of Osteopathic Medicine (D.O.)

Dr. Richard Mullins , MD

Surgery - Surgical Critical Care

NPI 1174597843

Doctor of Medicine (M.D.)

NPI 1184916702

Doctor of Osteopathic Medicine (D.O.)

Carlie Peacock , NP

Nurse Practitioner

NPI 1407382864

Nurse Practitioner

Amy Martin , CRNP

Nurse Practitioner - Acute Care

NPI 1427366657

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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Updated Practice Location June 10, 2025

Registered at 2055 E SOUTH BLVD STE 601, MONTGOMERY, AL 361162014 (Tel: 3347472999)

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Updated Business Mailing Address June 10, 2025

Registered at 301 BROWN SPRINGS RD, MONTGOMERY, AL 361177005

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Updated Practice Location November 18, 2019

Registered at 1611 NW 12 AVENUE, HOLTZ BUILDING, EAST TOWER 2169, MIAMI, FL 33136 (Tel: 3055851280)

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Updated Business Mailing Address November 18, 2019

Registered at 1611 NW 12 AVENUE, HOLTZ BUILDING, EAST TOWER 2169, MIAMI, FL 33136 (Tel: 3055851280)

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Provider Name / Credentials Updated November 18, 2019

Recorded as LUIS RIVERA AGUASVIVAS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2019

Student in an Organized Health Care Education/Training Program (License #TRN29803 in FL)

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NPI Profile Deactivated November 04, 2019

Record deactivated on November 04, 2019

NPI Profile Active March 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2019

Registered at 1611-NW 12 AVENUE, HOLTZ BUILDING, EAST TOWER 2169, MIAMI, FL 33136 (Tel: 3055851280)

📍
Updated Business Mailing Address March 29, 2019

Registered at 1611-NW 12 AVENUE, HOLTZ BUILDING, EAST TOWER 2169, MIAMI, FL 33136 (Tel: 3055851280)

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Provider Name / Credentials Updated March 29, 2019

Recorded as LUIS RIVERA AGUASVIVAS, M.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2019

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration March 29, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972064103
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2019
Last Update: June 10, 2025
Deactivation Date: November 04, 2019
Sole Proprietor: No

Mailing Address

301 Brown Springs Rd

Montgomery, AL 361177005

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.