Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730289505 Individual Practitioner Male Practitioner

Dr. Daniel Rivero De Jesus , MD

General Practice • Kissimmee, FL

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Rivero De Jesus, MD is a registered healthcare professional specializing in General Practice in Kissimmee, FL. Practice services are available at 1050 W CARROLL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1050 W Carroll St

Kissimmee, FL 347411268

Telephone 4075180078
Fax 4075180094
Associated Practice Facility / Clinic
🏢 Kidsville Pediatrics Ii, P.a. Facility NPI 1144292756

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Kissimmee, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.4 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
120 Specialists

Practicing in Kissimmee, FL (2490 Statewide)

Telehealth Adoption Rate
31.7% 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: 2025-04-30
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN1626

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License PR 13796

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
122679400 (FL)

Secondary Practice Locations

1804 Oakley Seaver Dr Ste C

Clermont, FL 347111925

Phone: 3522421021

2201 North Blvd W

Davenport, FL 338378990

Phone: 8634190688

1150 Cypress Glen Cir

Kissimmee, FL 347417560

Phone: 4074833200

Practice Associates & Co-Workers

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

6 Associated Practitioners
Ingrid Murray , PA

Physician Assistant - Medical

NPI 1225137235

Physician Assistant

Fany Aquino

Physician Assistant

NPI 1265533780
Kenneth Manselle , PA-C

Physician Assistant - Medical

NPI 1417037052

Physician Assistant (Certified)

NPI 1528043981

Doctor of Medicine (M.D.)

NPI 1720063068

Doctor of Medicine (M.D.)

NPI 1972580322

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location April 30, 2025

Registered at 1050 W CARROLL ST, KISSIMMEE, FL 347411268 (Tel: 4075180078)

📍
Updated Business Mailing Address April 30, 2025

Registered at 8801 LAMBERT LN, ORLANDO, FL 328256355 (Tel: 7873441968)

📍
Updated Practice Location January 10, 2025

Registered at 1150 CYPRESS GLEN CIR, KISSIMMEE, FL 347417560 (Tel: 4074833200)

👤
Provider Name / Credentials Updated January 10, 2025

Recorded as DANIEL RIVERO DE JESUS, M.D.

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at CALLE 19 LOCAL 4, LAS PALMAS VILLAS, CATANO, PR 00962 (Tel: 7877885297)

📍
Updated Business Mailing Address July 08, 2007

Registered at P O BOX 329, LOIZA, PR 007720329 (Tel: 7877885297)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DANIEL RIVERO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #13796 in PR)

🟢
Initial NPI Registration & Enumeration September 22, 2006

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: 1730289505
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2006
Last Update: April 30, 2025
Sole Proprietor: Yes

Mailing Address

8801 Lambert Ln

Orlando, FL 328256355

Phone: 7873441968

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.