GABRIELLA ANDREA LORUSSO VIVAS M.D.
NPI 1902368244
Pediatrics - Neonatal-Perinatal Medicine in Coral Gables, FL

Q: What is Gabriella Lorusso Vivas's NPI number?

The NPI number for Gabriella Lorusso Vivas is 1902368244. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Q: What is Gabriella Lorusso Vivas's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: Is Gabriella Lorusso Vivas enrolled in Medicare?

No. Gabriella Lorusso Vivas has opted out of Medicare through June 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since April 04, 2019Opted out of Medicare · through Jun 30, 2027

5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146(305) 661-1515 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2025, Oct 18, 2019, Apr 4, 2019 (3 updates tracked since 2019).

On this page

About Gabriella Andrea Lorusso Vivas M.d. NPPES

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

GABRIELLA ANDREA LORUSSO VIVAS M.D. (NPI 1902368244) is an individual neonatal-perinatal medicine provider in Coral Gables, Florida, licensed in Florida (ME165743) and active in the NPI registry since April 2019. She has opted out of Medicare through June 30, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902368244

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameGABRIELLA ANDREA LORUSSO VIVASCredential: M.D.

Location Address5955 PONCE DE LEON BLVDCoral Gables, FL 33146-2423

Mailing Address5955 Ponce De Leon BlvdCoral Gables, FL 33146-2423 · (305) 661-1515 · Fax (305) 662-3723

Phone(305) 661-1515

Sole ProprietorNo

Enumeration DateApril 4, 2019

Last NPPES UpdateMay 19, 20253 updates tracked since enumeration

NPPES CertifiedMay 19, 2025

✔ NPI 1902368244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in FL · ME165743

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 29714 (FL)

5955 PONCE DE LEON BLVD, Coral Gables, FL 33146

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gabriella Andrea Lorusso Vivas M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 30, 2025 through June 30, 2027.

Opt-Out Effective DateJune 30, 2025

Opt-Out In Effect ThroughJune 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Leave this field empty

Other Providers at the Same Location NPPES 20

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

MS. NAURI ESTEFANI ABREU ROA M.D.

Pediatrics (Neonatal-Perinatal Medicine)