Individual provider · Type 1 NPI

Luis A. Rivera, MD

General Practice Physician · Davenport, FL

NPI number 1679221287 Active

Practice location

181 Webb Dr Ste A
Davenport, FL 33837-3964

Call (863) 419-1235 Map

Fax (863) 419-9525

Mailing address

235 Amber Way
Kissimmee, FL 34758-4361

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XACN1422 (FL)
General Practice Physician 208D00000X22656 (PR)
Student in an Organized Health Care Education/Training Program 390200000X15610-I (PR)

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

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About NPI 1679221287

Luis A. Rivera, MD's National Provider Identifier is 1679221287, issued on Mar 13, 2022. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Davenport, FL. The record was last updated on Jan 8, 2026.