MEDICARE: MR. KEVIN OMAR RIVERA SR. RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WA2000X	Administrator Registered Nurse	9458076	FL

General Provider Information

NPI Number	:	1518550854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KEVIN OMAR RIVERA SR. RN

Provider Business Mailing Address
First Line	:	5242 BRACKS LANDING DR # 5242
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-8064
Country	:	US
Telephone Number	:	787-383-1437
Fax Number	:

Provider Business Practice Location Address
First Line	:	5242 BRACKS LANDING DR # 5242
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-8064
Country	:	US
Telephone Number	:	787-383-1437
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2021
Last Update Date	:	02/18/2021

Similar Medicare Providers

1548110166 — PAULA ANDREA HERNANDEZ DONOSO
Practice Location Address:

5226 BRACKS LANDING DR
SAINT CLOUD, FL
34771-8064

Practice Phone: 321-201-8964
Practice Fax:

1396338638 — MAGIC HOME HEALTH CARE
Practice Location Address:

5242 BRACKS LANDING DR
SAINT CLOUD, FL
34771-8064

Practice Phone: 787-383-1437
Practice Fax:

1831782853 — STEPHANY SERRANO RN
Practice Location Address:

5242 BRACKS LANDING DR
SAINT CLOUD, FL
34771-8064

Practice Phone: 939-274-7791
Practice Fax:

1629350186 — BARNES JEWISH HOSPITAL
Practice Location Address:

660 S EUCLID AVE , CAMPUS BOX 8064
SAINT LOUIS, MO
63110-1010

Practice Phone: 314-435-4766
Practice Fax:

1003768573 — DEBORAH MORENO CCP
Practice Location Address:

7030 BUCKHORN TRL
SAINT CLOUD, FL
34771-8386

Practice Phone: 407-301-8219
Practice Fax:

1114895000 — YAMILEE LEMONIER
Practice Location Address:

5201 LAKE HINDEN CV
SAINT CLOUD, FL
34771-8703

Practice Phone: 954-594-1102
Practice Fax:

Directions to “ MR. KEVIN OMAR RIVERA SR. RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.