VICTOR JUAN RIVERA (M.D.) – General Practice Physician, NPI 1396199303

VICTOR JUAN RIVERA (M.D.) is a healthcare provider. based in Port st lucie, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. ACN1144 (FL). The NPI Number for VICTOR JUAN RIVERA (M.D.) is 1396199303

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
VICTOR JUAN RIVERA (M.D.)
NPI
1396199303
Phone
(772) 905-2560
Address
672 SW PRIMA VISTA BLVD STE 102
Enumeration Date
15 April 2016
Last Update Date
23 July 2024

Doctor Profile

Medical School Name
SAN JUAN BAUTISTA SCHOOL OF MEDICINE
Secondary Phone
4079331760
Graduation Year
2014 (12 years ago)
PAC ID
4486922903
Group Practice PAC ID
4183606601
Professional Enrollment ID
I20190430001518
Address ID
FL347415001KI308XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

1,466 GENERAL PRACTICE in FL

Provider Addresses for VICTOR JUAN RIVERA (M.D.)

  • 672 SW PRIMA VISTA BLVD STE 102

    PORT ST LUCIE, FL 349831820

    Phone: (772) 905-2560

    Type: Location

  • 1 Calle Baldorioty

    Caguas, PR 007252607

    Phone: (787) 406-6214

    Type: Location

  • 69, Jupiterveien, Stenseth, Solbergmoen, Mjøndalen, Drammen, Viken, 3055, Norway

    JUPITER, FL 334680069

    Phone: (561) 406-6062

    Fax: (561) 406-6073

    Type: Mailing

  • 308 W BASS ST

    KISSIMMEE, FL 347415001

    Phone: (407) 483-8801

    Fax: (407) 483-1298

    Type: Mailing

  • 4170 TOWN CTR BLVD STE 102

    ORLANDO, FL 328375875

    Phone: (407) 857-2817

    Fax: (407) 857-0234

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $1,109.

Total Amount is formed as General ($1,109) + Research ($0) + Ownership ($0) = $1,109.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($165).

Total Amount

$1,109

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190430001518IGeneral PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4439$0
G0444Annual depression screening, 5 to 15 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 34983)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183606601View full group profile
NameSpecialtyState
General PracticePR
General PracticeFL
General PracticePR
Internal MedicineFL
General PracticePR
General PracticeFL
Internal MedicineFL
General PracticeSD
General PracticePR
Family PracticeFL

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Frequently asked questions

What is the standard ID for VICTOR JUAN RIVERA (M.D.) in the U.S.?
In the U.S., VICTOR JUAN RIVERA (M.D.) is identified by NPI 1396199303.
Does the public listing show VICTOR JUAN RIVERA (M.D.) as active?
VICTOR JUAN RIVERA (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits VICTOR JUAN RIVERA (M.D.)?
NPPES ties VICTOR JUAN RIVERA (M.D.) to General Practice Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to VICTOR JUAN RIVERA (M.D.)?
VICTOR JUAN RIVERA (M.D.) shows a connection to Port St Lucie, Florida in registry-derived data.
Why is information missing for VICTOR JUAN RIVERA (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.