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JUAN I RIVERA
NPI 1396935037
Family Medicine in Punta Gorda, FL

Active since July 30, 2007CLIA 10D0670291 · Waiver
315 E OLYMPIA AVE, 111, PUNTA GORDA, FL 33950(941) 639-1640(941) 637-9808 Get Directions Write a Review

NPPES record last updated: January 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juan I Rivera NPPES

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

JUAN I RIVERA (NPI 1396935037) is a healthcare organization registered as a family medicine in Punta Gorda, Florida and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Juan I Rivera, Owner, as its authorized official.

NPPES Registry Identity

NPI1396935037
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJUAN I RIVERA
Location Address315 E OLYMPIA AVE, 111Punta Gorda, FL 33950-3833
Mailing Address315 E Olympia Ave # 111Punta Gorda, FL 33950-3833 · (941) 639-1640 · Fax (941) 637-9808
Phone(941) 639-1640
Fax(941) 637-9808
Organization SubpartNo
Authorized OfficialJuan I RiveraOwner · (941) 639-1640
Enumeration DateJuly 30, 2007
Last NPPES UpdateJanuary 14, 2009
✔ NPI 1396935037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME050857
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
315 E OLYMPIA AVE, Punta Gorda, FL 33950
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Other Identifiers 3

Medicaid072052600FL
Medicare UPIND50954FL
Medicare PINK2972FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0670291

Juan I Rivera MD · Punta Gorda, FL
Active · expires Oct 19, 2027
CLIA Number10D0670291
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorJuan I. Rivera MD
Laboratory Phone(941) 639-1640
Laboratory LocationJuan I Rivera MD315 E Olympia Ave #111, Punta Gorda, FL 33950
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

HOME HEALTH CARE PROFESSIONALS, INC.
In Home Supportive Care
315 E OLYMPIA AVE, SUITE 244
PUNTA GORDA, FL 33950
Charlotte County (941) 378-4214
MARIAN N BEDFORD
Nurse Practitioner (Family)
315 E OLYMPIA AVE, SUITE 111
PUNTA GORDA, FL 33950
Charlotte County (941) 639-1640
KRISTEN M FRAZIER PERCENT ARNP
Nurse Practitioner (Adult Health)
315 E OLYMPIA AVE, #111
PUNTA GORDA, FL 33950
Charlotte County (941) 639-1640
DR. JOHN PAUL BRAUT D.O.
Orthopaedic Surgery
315 E OLYMPIA AVE, SUITE 211
PUNTA GORDA, FL 33950
Charlotte County (941) 637-2663
TERESA MARTIN PT
Physical Therapist
315 E OLYMPIA AVE, SUITE 212
PUNTA GORDA, FL 33950
Charlotte County (941) 255-5940
KATHRYN H KORNHAUS AP, DOM
Acupuncturist
315 E OLYMPIA AVE, SUITE 246
PUNTA GORDA, FL 33950
Charlotte County (941) 575-6645
LAWRENCE MARTIN PT
Physical Therapist
315 E OLYMPIA AVE, SUITE 212
PUNTA GORDA, FL 33950
Charlotte County (941) 255-5940
JUAN I RIVERA M.D.
Family Medicine
315 E OLYMPIA AVE, #111
PUNTA GORDA, FL 33950
Charlotte County (941) 205-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan I Rivera's NPI number?

The NPI number for Juan I Rivera is 1396935037. It was assigned to this organization in the NPPES registry on July 30, 2007.

Where is Juan I Rivera located?

Juan I Rivera is located at 315 E Olympia Ave 111, Punta Gorda, FL 33950. The listed phone number is (941) 639-1640.

What is Juan I Rivera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Juan I Rivera hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0670291) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Juan I Rivera was last updated on January 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.