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

Matthew Rivera

Individual provider Emergency Medicine Physician · NPI 1619439965

Matthew Rivera is an Emergency Medicine in Palm Coast, Florida. Qualified in 2019, 7 years ago. Practices with Emergency Physicians of Tidewater, a 165-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019

Practice location Address checks out

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone: (386) 586-4243
Fax: (386) 586-4620
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence ME149819 (FL)

Record details

NPI number1619439965
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2019
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022
Mailing address1530 Cornerstone Blvd Ste 120, Daytona Beach, FL 32117-7129

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Emergency Physicians Of Tidewater — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Palm Coast