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

Jose A Rivera, MANAGINGCONTROLCEO

Individual provider Primary Care Clinic/Center · NPI 1114414380

Jose A Rivera, MANAGINGCONTROLCEO is a Primary Care Clinic/Center in Kissimmee, Florida. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1906 N John Young Pkwy
Kissimmee, FL 34741
Phone: (407) 994-4606
Fax: (888) 338-4430
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1114414380
Entity typeIndividual (Type 1)
GenderMale
Credentials MANAGINGCONTROLCEO
Sole proprietorYes
NPI enumeratedApril 13, 2018
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 16, 2024
Mailing address1906 N John Young Pkwy, Kissimmee, FL 34741

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