Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edmundo I Rivera MD PA

Organization Psychiatry Physician · NPI 1477839306

Edmundo I Rivera MD PA is a Psychiatry Physician in Orange City, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

250 Treemont Dr
Orange City, FL 32763-7945
Phone: (386) 774-6001
Fax: (386) 774-6044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME62400 (FL)

Record details

NPI number1477839306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edmundo Rivera — Medical Doctor · (386) 774-6001
Other names West Volusia Psychiatric Associates
NPI enumeratedOctober 24, 2011
Last updated in NPPESOctober 24, 2011
Mailing address250 Treemont Dr, Orange City, FL 32763-7945

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