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

Dr. Ivan Rivera, MD

Individual provider Internal Medicine Physician · NPI 1720214190

Dr. Ivan Rivera, MD is an Internal Medicine in Lakeland, Florida. Graduated from University of Puerto Rico School of Medicine in 2009, 17 years ago. Practices with Watson Clinic LLP, a 362-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
17
Trained at
University of Puerto Rico School of Medicine
Licensed in
FL
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Phone: (863) 680-7190
Fax: (866) 264-8519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME112661 (FL)

Record details

NPI number1720214190
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2009
Last updated in NPPESNovember 27, 2023
Certification dateOctober 1, 2020
Mailing address1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Watson Clinic Llp — 362 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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