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INDIAN RIVER INTERNAL MEDICINE, LLC
NPI 1811136773
Internal Medicine in Sebastian, FL

Active since February 16, 2009CLIA 10D1101005 · Waiver
7935 BAY ST, SUITE 3, SEBASTIAN, FL 32958(772) 581-1881(772) 581-1885 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Indian River Internal Medicine, Llc NPPES

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

INDIAN RIVER INTERNAL MEDICINE, LLC (NPI 1811136773) is a healthcare organization registered as an internal medicine in Sebastian, Florida and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through June 17, 2027 and lists Enio Luis Prieto, Sole Managing Member, as its authorized official.

NPPES Registry Identity

NPI1811136773
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINDIAN RIVER INTERNAL MEDICINE, LLC
Location Address7935 BAY ST, SUITE 3Sebastian, FL 32958-3282
Mailing Address7935 Bay St, Suite 3Sebastian, FL 32958-3282 · (772) 581-1881 · Fax (772) 581-1885
Phone(772) 581-1881
Fax(772) 581-1885
Organization SubpartNo
Authorized OfficialEnio Luis PrietoSole Managing Member · (772) 581-1881
Enumeration DateFebruary 16, 2009
Last NPPES UpdateJuly 16, 2021
NPPES CertifiedJuly 16, 2021
✔ NPI 1811136773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME80380
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7935 BAY ST, Sebastian, FL 32958
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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 10D1101005

Indian River Internal Medicine · Sebastian, FL
Active · expires Jun 17, 2027
CLIA Number10D1101005
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2025
Certificate Expiration DateJune 17, 2027
Laboratory DirectorEnio Prieto
Laboratory Phone(772) 581-1881
Laboratory LocationIndian River Internal Medicine7935 Bay St Suite 3, Sebastian, FL 32958
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

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

DR. KIMBERLY GRAZIANO MD
Pediatrics
7935 BAY ST, SUITE #3
SEBASTIAN, FL 32958
Indian River County (772) 581-0636

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 Indian River Internal Medicine, LLC's NPI number?

The NPI number for Indian River Internal Medicine, LLC is 1811136773. It was assigned to this organization in the NPPES registry on February 16, 2009.

Where is Indian River Internal Medicine, LLC located?

Indian River Internal Medicine, LLC is located at 7935 Bay St Suite 3, Sebastian, FL 32958. The listed phone number is (772) 581-1881.

What is Indian River Internal Medicine, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Indian River Internal Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1101005) is associated with this NPI, valid through June 17, 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 Indian River Internal Medicine, LLC was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.