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

Angel Luis Rivera

Individual provider General Practice Physician · NPI 1992411805

Angel Luis Rivera is a General Practice Physician in Kissimmee, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

216 Broadway
Kissimmee, FL 34741-5768
Phone: (407) 910-4040
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME121469 (FL)

Record details

NPI number1992411805
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 24, 2023
Last updated in NPPESMarch 27, 2023
Certification dateMarch 27, 2023
Mailing address3772 Eagle Isle Cir, Kissimmee, FL 34746-1907

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