VIVIAN REVILLA RODRIGUEZ FNP - NPI 1003329269 - Nurse Practitioner in Miami, FL

Q: What is Vivian Revilla Rodriguez's NPI number?

The NPI number for Vivian Revilla Rodriguez is 1003329269. It was assigned to this individual provider in the NPPES registry on November 9, 2017.

Q: What is Vivian Revilla Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

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About Vivian Revilla Rodriguez Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVIAN REVILLA RODRIGUEZ FNP (NPI 1003329269) is an individual family provider in Miami, Florida, licensed in Florida (11039107) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003329269

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameVIVIAN REVILLA RODRIGUEZCredential: FNP

Location Address1600 NE MIAMI GARDENS DRMiami, FL 33179-4900

Mailing Address1600 Ne Miami Gardens DrMiami, FL 33179-4900 · (786) 248-5374

Phone(786) 248-5374

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 9, 2017

Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration

NPPES CertifiedAugust 14, 2025

✔ NPI 1003329269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11039107

1600 NE MIAMI GARDENS DR, Miami, FL 33179

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vivian Revilla Rodriguez Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345743316

PECOS Enrollment IDI20250915001178

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33179 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSE FULGENCIO RIVAS TOLL FNP

Nurse Practitioner (Family)