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Active NPI 1992411805 Individual Practitioner Male Practitioner

Angel Luis Rivera

General Practice • Kissimmee, FL

Professional Overview & Biography Verified Profile Summary

Angel Rivera is a registered healthcare professional specializing in General Practice in Kissimmee, FL. Practice services are available at 216 BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

216 Broadway

Kissimmee, FL 347415768

Telephone 4079104040
Associated Practice Facility / Clinic
🏢 Vietrulife Medical Spa Corp Facility NPI 1518673433

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: 2023-03-27
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME121469

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

Practice Associates & Co-Workers

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

2 Associated Practitioners
Jennifer Robles

Case Manager/Care Coordinator

NPI 1407545437
Carlos Cruz

Physical Medicine & Rehabilitation - Sports Medicine

NPI 1558110270

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active February 01, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 01, 2023

Registered at 216 BROADWAY, KISSIMMEE, FL 347415768 (Tel: 4079104040)

📍
Updated Business Mailing Address February 01, 2023

Registered at 3772 EAGLE ISLE CIR, KISSIMMEE, FL 347461907 (Tel: 3213332573)

👤
Provider Name / Credentials Updated February 01, 2023

Recorded as ANGEL RIVERA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2023

General Practice (License #ME121469 in FL)

🟢
Initial NPI Registration & Enumeration January 24, 2023

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: 1992411805
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2023
Last Update: March 27, 2023
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

3772 Eagle Isle Cir

Kissimmee, FL 347461907

Phone: 3213332573

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.