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Edmundo I Rivera MD PA

Psychiatry Physician in Orange City, FL · enumerated 2011 · authorized official Edmundo Rivera, Medical Doctor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477839306

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Registry record

Entity type Organization (Type 2)
Legal business name Edmundo I Rivera MD PA
Other name <Unavail>
Practice address 250 Treemont Dr, Orange City, FL, 32763
Phone (386) 774-6001
Fax (386) 774-6044
Enumeration date Oct 24, 2011
Last updated in NPPES Oct 24, 2011

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License ME62400 (FL) Primary

Authorized official

Name Edmundo Rivera
Title Medical Doctor
Phone (386) 774-6001

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Edmundo I Rivera MD PA?
The NPI for Edmundo I Rivera MD PA is 1477839306, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Edmundo I Rivera MD PA?
NPPES lists Edmundo Rivera (Medical Doctor) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-10-24.